Organization
CRYSTAL CREEK COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERILYN YINGLING LPC (OWNER/CLINICIAN)
(719) 686-6703
Entity
Organization
Contact information
Practice address
400 W MIDLAND AVE, WOODLAND PARK, CO 80863-3144
(719) 640-5344
Mailing address
PO BOX 94, 11120 PUEBLO AVE, GREEN MOUNTAIN FALLS, CO 80819-0094
(719) 640-5344
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0012668
CO
Other
Enumeration date
04/27/2017
Last updated
08/15/2017
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