| Crystal Creek Counseling , Pc Inc. | |
|
400 W Midland Ave Ste 200 Woodland Park CO 80863-3199 | |
| (719) 686-6703 | |
| (719) 325-8958 |
| Full Name | Crystal Creek Counseling , Pc Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 400 W Midland Ave Ste 200, Woodland Park, Colorado |
| Authorized Official Name and Position | Jerilyn L Yingling (OWNER) |
| Authorized Official Contact | 7196866703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Creek Counseling , Pc Inc. Po Box 94 Green Mountain Falls CO 80819-0094 Ph: (719) 686-6703 | Crystal Creek Counseling , Pc Inc. 400 W Midland Ave Ste 200 Woodland Park CO 80863-3199 Ph: (719) 686-6703 |
| NPI Number | 1487113221 |
|---|---|
| Provider Enumeration Date | 03/19/2019 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487113221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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