Organization
CRYSTAL CREEK COUNSELING , PC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERILYN L YINGLING (OWNER)
(719) 686-6703
Entity
Organization
Contact information
Practice address
500 COFFMAN ST STE 210, LONGMONT, CO 80501-5445
(719) 686-6703
Mailing address
PO BOX 94, GREEN MOUNTAIN FALLS, CO 80819-0094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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