| Crystal Creek Counseling | |
|
400 W Midland Ave Woodland Park CO 80863-3144 | |
| (719) 640-5344 | |
| Not Available |
| Full Name | Crystal Creek Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 400 W Midland Ave, Woodland Park, Colorado |
| Authorized Official Name and Position | Jerilyn Yingling (OWNER/CLINICIAN) |
| Authorized Official Contact | 7196866703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Creek Counseling Po Box 94 11120 Pueblo Ave Green Mountain Falls CO 80819-0094 Ph: (719) 640-5344 | Crystal Creek Counseling 400 W Midland Ave Woodland Park CO 80863-3144 Ph: (719) 640-5344 |
| NPI Number | 1124553102 |
|---|---|
| Provider Enumeration Date | 04/27/2017 |
| Last Update Date | 08/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124553102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC.0012668 (Colorado) | Primary |
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