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General NPI Number Information
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NPI Number | 1922812379
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Entity Type | Individual
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Provider Name | BRANDON E CROWLEY LPC
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Gender | Male
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 4055 EXECUTIVE PARK DR STE 210
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City | CINCINNATI
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State | OH
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Zip | 45241-4019
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Country | US
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Telephone | 513-298-9296
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Fax |
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Provider Business Mailing Address
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Address Line | 5470 ANCHORS WAY
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City | LIBERTY TWP
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State | OH
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Zip | 45011-2886
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Country | US
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Telephone | 513-257-5018
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.2506837
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License Number State | OH
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