Individual
KEITH L CROWNOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3205 TAHITI ST NE, ALBUQUERQUE, NM 87111-5342
(405) 824-9625
Mailing address
3205 TAHITI ST NE, ALBUQUERQUE, NM 87111-5342
(405) 824-9625
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CCMH0219991
NM
101YM0800X
Mental Health Counselor
LPC0017517
CO
101YM0800X
Mental Health Counselor
LPC6141
OK
Other
Enumeration date
06/05/2012
Last updated
11/10/2025
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