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NPI Code Detail

MEDICARE: MR. CLIFFORD PATRICK CROW CRC

MEDICARE: MR. CLIFFORD PATRICK CROW CRC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225C00000XRehabilitation Counselor
2101Y00000XCounselor
3101YM0800XMental Health CounselorIMH28236FL

General Provider Information

NPI Number : 1538925524
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CLIFFORD PATRICK CROW CRC
Provider Business Mailing Address
First Line : 2801 N FLAGLER DR
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-5215
Country : US
Telephone Number : 561-488-9034
Fax Number :
Provider Business Practice Location Address
First Line : 2801 N FLAGLER DR
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-5215
Country : US
Telephone Number : 561-488-9034
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2024
Last Update Date : 06/02/2026

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