Doctor Name: | MS. CAROL CRESCENTE |
NPI Number: | 1023395217 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0379451 |
Business Practice Address: | 5524 S. Prince Street Littleton, CO - 80120 |
Business Phone Number: | 3037611991 |
Business Fax Number: | |
Mailing Address: | 5625 S Sycamore St, 209 LITTLETON |
State: | CO |
Postal Code: | 801201169 |
Phone Number: | 3039556568 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2011 |
NPI Last Update Date: | 11/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 0379451 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |