Individual
JASON CREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 241-1040
Mailing address
124 MALLARD ST, GREENVILLE, SC 29601-4046
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/30/2015
Last updated
01/06/2017
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