Organization
CRYSTAL CREEK COUNSELING , PC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERILYN L YINGLING LPC (OWNER)
(719) 686-6703
Entity
Organization
Contact information
Practice address
400 W MIDLAND AVE STE 200, WOODLAND PARK, CO 80863-3199
(719) 686-6703
(719) 325-8958
Mailing address
PO BOX 94, GREEN MOUNTAIN FALLS, CO 80819-0094
(719) 686-6703
(719) 325-8958
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
06/15/2023
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