Individual
SIMON CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 BROADWAY ST STE 101, PADUCAH, KY 42001-0713
(270) 442-7121
Mailing address
3621 BRIGHTON CV, PADUCAH, KY 42001-5215
(270) 864-6742
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
243317
KY
Other
Enumeration date
09/21/2018
Last updated
06/10/2024
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