Bradley Crookston, | |
791 Chambers Rd, Aurora, CO 80011-7112 | |
(303) 617-2300 | |
Not Available |
Full Name | Bradley Crookston |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 791 Chambers Rd, Aurora, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205262268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC.0014335 (Colorado) | Primary |
Entity Name | Aurora Comprehensive Community Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134149057 PECOS PAC ID: 9335047778 Enrollment ID: O20031223000263 |
Mailing Address | Practice Location Address |
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Bradley Crookston, 1290 Chambers Rd, Aurora, CO 80011-7117 Ph: () - | Bradley Crookston, 791 Chambers Rd, Aurora, CO 80011-7112 Ph: (303) 617-2300 |
Laura L Talamantes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11059 E Bethany Dr, Suite 101, Aurora, CO 80014 Phone: 303-617-2300 Fax: 303-617-2397 | |
Dawn Elizabeth Darnell, LAC, LPCC., CH.T Counselor Medicare: Medicare Enrolled Practice Location: 11059 E Bethany Dr, Aurora, CO 80014 Phone: 303-617-2300 | |
Jamie Lynn Contreraz, CAC 1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2206 Victor St, Aurora, CO 80045 Phone: 303-617-2300 | |
Tiffany Joy Rode, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11059 E Bethany Dr, Aurora, CO 80014 Phone: 303-617-2300 | |
Kellie Vazquez, MA, NCC, BC-TMH, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2323 S Troy St Ste 3-107, Aurora, CO 80014 Phone: 314-541-6256 | |
James Pinkney Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12101 E 2nd Ave, Suite 101, Aurora, CO 80011 Phone: 303-909-9952 Fax: 303-395-0430 | |
Charlton Edmond Jordan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1290 Chambers Rd, Aurora, CO 80011 Phone: 303-364-3481 |