MARY CLARE CROCKER LPC NPI 1629646609

NPI Information

NPI: 1629646609
Provider Name: MARY CLARE CROCKER, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
5277 MANHATTAN CIR STE 250
BOULDER, CO
ZIP 80303
Phone: (303) 746-7844
Get Directions

Mary Clare Crocker, LPC is a professional counselor in Boulder, CO. Mary Clare Crocker, LPC NPI is 1629646609. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5277 MANHATTAN CIR STE 250
BOULDER, CO
ZIP 80303-212
Phone: (303) 746-7844

The enumeration date for this NPI number is 6/15/2021 and was last updated on 6/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC0017108	COLORADO	Yes
2	101YP2500X	Counselor	Professional	82375	TEXAS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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