Randy Louis Crownover, LMFT Valid NPI
Individual provider · Marriage & Family Therapist · Edmond, OK
- NPI
- 1043533797
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- License number
- 911 (OK)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2010-03-09
- Last updated
- 2021-05-26
Practice location
4733 First Light Ln
Edmond, OK 73034-0819
(405) 819-1349