Doctor Name: | MS. LESLIE ROSS CRANE |
NPI Number: | 1619131984 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 2906 |
Business Practice Address: | 100 W Colorado Blvd Suite 225 Telluride, CO - 81435 |
Business Phone Number: | 9707286303 |
Business Fax Number: | 9703691261 |
Mailing Address: | Po Box 1208, MONTROSE |
State: | CO |
Postal Code: | 814021208 |
Phone Number: | 9702523200 |
Fax Number: | 9702523208 |
NPI Enumeration Date: | 07/15/2008 |
NPI Last Update Date: | 07/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2906 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |