# CROWDER FAMILY COUNSELING & THERAPY SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crowder Family Counseling & Therapy Services Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164148995
- **Authorized official:** LUCILLE CROWDER LMFT (LMFT)
- **Authorized official phone:** (909) 653-0703

## Contact information

- **Practice address:** 3070 CANYON VISTA DR, COLTON, CA 92324-9770
- **Practice address phone:** (909) 653-0703
- **Practice address fax:** (888) 245-9901
- **Mailing address:** 3070 CANYON VISTA DR, COLTON, CA 92324-9770
- **Mailing address phone:** (909) 653-0703
- **Mailing address fax:** (888) 245-9901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2022
- **Last updated:** 06/04/2024