Crouch, Iii, Jacob C

Crouch, Iii, Jacob C is an sole proprietor health care provider with primary practice located at 7448 Culver Lane , New Port Richey FL 34655-3433. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Crouch, Iii, Jacob C can be contacted via phone (727) 858-9183.

Contact Information

Primary practice address
7448 Culver Lane New Port Richey FL 34655-3433
Phone: (727) 858-9183
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X MH3311 Florida

Profile Details

NPI number 1043960073
LBN Legal business name Crouch, Iii, Jacob C
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2022
Last updated Mar 24th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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