| Doctor Name: | MR. RUSSELL V, CROOK |
| NPI Number: | 1215112206 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.P.C. |
| License Number: | 61081 |
| Business Practice Address: | 1100 W Westhill Dr Cleburne, TX - 760336133 |
| Business Phone Number: | 8176459193 |
| Business Fax Number: | |
| Mailing Address: | 1105 Green River Trl, CLEBURNE |
| State: | TX |
| Postal Code: | 760336114 |
| Phone Number: | 8177747115 |
| Fax Number: | 8176417543 |
| NPI Enumeration Date: | 01/08/2008 |
| NPI Last Update Date: | 01/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 61081 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |