Provider Demographics
NPI:1437810330
Name:KROWEL, JUSTIN (LMHCA, CRC)
Entity Type:Individual
Prefix:MR
First Name:JUSTIN
Middle Name:
Last Name:KROWEL
Suffix:
Gender:M
Credentials:LMHCA, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6246 W BROADWAY STE 200
Mailing Address - Street 2:
Mailing Address - City:MCCORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46055-9572
Mailing Address - Country:US
Mailing Address - Phone:317-562-0942
Mailing Address - Fax:317-762-7903
Practice Address - Street 1:8202 CLEARVISTA PKWY STE 9E
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-1457
Practice Address - Country:US
Practice Address - Phone:317-562-0942
Practice Address - Fax:317-762-7903
Is Sole Proprietor?:No
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88000179A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health