Individual
JARED KIMBALL CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1760 E BOSTON ST STE 102, GILBERT, AZ 85295-6241
(480) 649-6499
Mailing address
1760 E BOSTON ST STE 102, GILBERT, AZ 85295-6241
(480) 649-6499
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-16956
AZ
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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