Organization
TDCROTINGER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY D CROTINGER LPCC (GROUP OF 1)
(575) 303-3500
Entity
Organization
Contact information
Practice address
205 PARK AVE, RATON, NM 87740-3834
(575) 303-3500
(888) 972-3649
Mailing address
PO BOX 1396, RATON, NM 87740-1396
(575) 303-3500
(888) 972-3649
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0159381
NM
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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