Organization
MALISSA K CROWE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALISSA K CROWE LCSW (SOLE PROPRIETOR)
(765) 491-6175
Entity
Organization
Contact information
Practice address
120 SAGAMORE PKWY W, WEST LAFAYETTE BRA, IN 47906-1569
(765) 491-6175
(765) 743-5850
Mailing address
1351 S SHARON CHAPEL RD, WEST LAFAYETTE BRA, IN 47906-4342
(765) 491-6175
(765) 743-5850
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34005071A
IN
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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