Individual
JESSE VICE CRUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LMFT
Contact information
Practice address
914 E BROADWAY, 3RD FLOOR, LOUISVILLE, KY 40204-1037
(502) 589-8600
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6365
KY
1041C0700X
Clinical Social Worker
Primary
5030
KY
106H00000X
Marriage & Family Therapist
2012-028
KY
Other
Enumeration date
04/10/2013
Last updated
10/30/2025
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