John Crouse
Counselor, Mental Health in Brooklyn Center, MN. Individual provider (NPI-1).
NPI number1265068340
StatusActive
Last updated in NPPESJun 20, 2024
Details
- NPI
- 1265068340
- Entity type
- Individual (NPI-1)
- Name
- John Crouse
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2020
- Certification date
- Jun 20, 2024
- Last updated
- Jun 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | cc02400 | MN | Yes |
| 101YP2500X | Counselor, Professional | – | – |
Practice location
3300 County Road 10 Ste 500Brooklyn Center, MN 55429-3068
Phone 612-548-1796
Mailing address
737 N Van Buren WayHopkins, MN 55343-8146
Phone 701-330-5458
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