Individual provider · Type 1 NPI
Keith L. Crownover, PhD
Mental Health Counselor · Albuquerque, NM
NPI number
1447511605
Active
Practice location
3205 Tahiti St NE
Albuquerque, NM 87111-5342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC0017517 (CO) |
| Mental Health Counselor | 101YM0800X | LPC6141 (OK) |
| Mental Health Counselor Primary | 101YM0800X | CCMH0219991 (NM) |
Mental Health Counselor: Definition to come...
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About NPI 1447511605
Keith L. Crownover, PhD's National Provider Identifier is 1447511605, issued on Jun 5, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Albuquerque, NM. The record was last updated on Nov 10, 2025.