Individual
DAVID L CROCKRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW, CDCA
Contact information
Practice address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 225-0990
Mailing address
3110 ARBORSYE CT, REYNOLDSBURG, OH 43068-9102
(614) 286-9510
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
080474
OH
1041C0700X
Clinical Social Worker
Primary
S1302964
OH
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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