| Crystal Creek Counseling , Pc Inc. | |
|
500 Coffman St Ste 210 Longmont CO 80501-5445 | |
| (719) 686-6703 | |
| Not Available |
| Full Name | Crystal Creek Counseling , Pc Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 500 Coffman St Ste 210, Longmont, Colorado |
| Authorized Official Name and Position | Jerilyn L Yingling (OWNER) |
| Authorized Official Contact | 7196866703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Creek Counseling , Pc Inc. Po Box 94 Green Mountain Falls CO 80819-0094 Ph: () - | Crystal Creek Counseling , Pc Inc. 500 Coffman St Ste 210 Longmont CO 80501-5445 Ph: (719) 686-6703 |
| NPI Number | 1518741966 |
|---|---|
| Provider Enumeration Date | 08/24/2023 |
| Last Update Date | 08/24/2023 |
| Certification Date | 08/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518741966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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