NPI 1124553102

Crystal Creek Counseling

Organisation Professional Counselor Woodland Park, CO

Practice location

Address: 400 W Midland Ave, Woodland Park, CO 80863-3144
Phone: (719) 640-5344
Mailing address: PO Box 94 11120 Pueblo Ave, Green Mountain Falls, CO 80819-0094

Authorised official

Name: Jerilyn Yingling
Title: Owner/Clinician
Phone: (719) 686-6703

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LPC.0012668 (CO)

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Registry record

NPI: 1124553102
Entity type: Organization
NPI issued: 27 Apr 2017
Record last updated: 15 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.