| Doctor Name: | MS. MARY KATHLEEN CROOK |
| NPI Number: | 1134194301 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | 01740-C |
| Business Practice Address: | 40 E Center St Ste 6 Fallon, NV - 894063475 |
| Business Phone Number: | 7752172117 |
| Business Fax Number: | |
| Mailing Address: | 3355 Beverly Dr, FALLON |
| State: | NV |
| Postal Code: | 894068245 |
| Phone Number: | 7758675329 |
| Fax Number: | 7758675329 |
| NPI Enumeration Date: | 02/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 01740-C |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |