NPI 1487113221
Crystal Creek Counseling , PC INC.
Practice location
- Address
- 400 W Midland Ave STE 200, Woodland Park, CO 80863-3199
- Phone
- (719) 686-6703
- Fax
- (719) 325-8958
- Mailing address
- PO Box 94, Green Mountain Falls, CO 80819-0094
Authorised official
- Name
- Jerilyn L Yingling
- Title
- Owner
- Phone
- (719) 686-6703
Registered specialties (2)
Professional Counselor
Primary
Mental Health Counselor
Registry record
- NPI
- 1487113221
- Entity type
- Organization
- NPI issued
- 19 Mar 2019
- Record last updated
- 15 Jun 2023
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.