Individual
AUDREY M CROUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCDC
Contact information
Practice address
301 S ROGERS ST STE 205, WAXAHACHIE, TX 75165-3348
(469) 297-0682
Mailing address
213 BARBARA WAY, RED OAK, TX 75154-6501
(214) 228-0659
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11772
TX
101YP2500X
Professional Counselor
Primary
80935
TX
Other
Enumeration date
12/03/2020
Last updated
11/30/2022
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