Individual
JASON CROUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 PARKLAWN DR, MIDWEST CITY, OK 73110-4211
(405) 735-5437
Mailing address
1321 COUNTY STREET 2972, BLANCHARD, OK 73010-2874
(405) 408-7083
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12009
OK
Other
Enumeration date
02/02/2021
Last updated
03/12/2026
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