Individual provider · Type 1 NPI

Jacob Crowder

Mental Health Counselor · Miami, OK

NPI number 1104366244 Active

Practice location

24 N Eight Tribes Trl
Miami, OK 74354-1011

Call (918) 387-8720 Map

Mailing address

22 N Eight Tribes Trl
Miami, OK 74354-1011

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X7583 (OK)
Case Manager/Care Coordinator 171M00000XNone listed

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About NPI 1104366244

Jacob Crowder's National Provider Identifier is 1104366244, issued on Mar 7, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Miami, OK. The record was last updated on Oct 28, 2026.