Doctor Name: | KATIE CROWE |
NPI Number: | 1558678391 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, M OF COUN. |
License Number: | LPC-4564 |
Business Practice Address: | 440 Nevada Ave Lovell, WY - 824311916 |
Business Phone Number: | 3075482341 |
Business Fax Number: | |
Mailing Address: | 316 3rd Ave S, GREYBULL |
State: | WY |
Postal Code: | 824262207 |
Phone Number: | 1406411216 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2010 |
NPI Last Update Date: | 01/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPC-4564 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |