Individual
CASEY CROCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1785 N ACADEMY BLVD, COLORADO SPRINGS, CO 80909-2734
(719) 246-5693
Mailing address
1785 N ACADEMY BLVD, COLORADO SPRINGS, CO 80909-2734
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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