Individual
KAYLEE JO CROWDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRSS-SUD
Contact information
Practice address
801 LINCOLN DR, SOUTH CHARLESTON, WV 25309-1834
(681) 205-8940
Mailing address
1613 6TH AVE APT 303, CHARLESTON, WV 25387-2450
(304) 542-3759
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
25-9101SUD
WV
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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