Individual
CLAIR REBECA CROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, PLPC
Contact information
Practice address
3646 S CAMPBELL AVE, SPRINGFIELD, MO 65807-5202
(417) 597-4309
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017038563
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490048255
—
MO
Enumeration date
11/01/2017
Last updated
09/28/2021
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