Larry Keith Crocombe in Pueblo - Addiction (substance Use Disorder)
Larry Keith Crocombe - NPI 1558562488
Larry Keith Crocombe is a Addiction (substance Use Disorder) in Pueblo, Colorado. Larry Keith Crocombe practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Larry Keith Crocombe is 1558562488. The last update date is 2007-07-08.
Larry Keith Crocombe's current location address is 2561 Elmwood Ln, Pueblo, Colorado. You can contact this provider via phone number 7195644847. The mailing address for Larry Keith Crocombe is 2561 Elmwood Ln, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Keith Crocombe |
|---|---|
| Address | 2561 Elmwood Ln, Pueblo, Colorado |
| Phone Number | 7195644847 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | B.A.CACII |
NPI Number Detail
| NPI Number | 1558562488 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2561 Elmwood Ln |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810052703 |
| Phone Number | 7195644847 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 4136 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique identification code assigned to Larry Keith Crocombe by the Centers for Medicare & Medicaid Services?
The Larry Keith Crocombe has been issued the NPI (National Provider Identifier) 1558562488. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Larry Keith Crocombe is geographically located?
The Larry Keith Crocombe is physically situated at the following location: 2561 Elmwood Ln, Pueblo, CO, 810052703.
What is Larry Keith Crocombe's area of expertise and its corresponding taxonomy classification?
The Larry Keith Crocombe's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1558562488 assigned to Larry Keith Crocombe?
The Larry Keith Crocombe was issued its 1558562488 on 2007-05-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Larry Keith Crocombe, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Larry Keith Crocombe, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.