Individual
JESSICA CROWDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1274 W 7TH AVE STE 204, EUGENE, OR 97402-4523
(541) 222-9941
(541) 610-1663
Mailing address
1274 W 7TH AVE STE 204, EUGENE, OR 97402-4523
(541) 222-9941
(541) 610-1663
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6046
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500758997
—
OR
Enumeration date
07/15/2010
Last updated
12/22/2019
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