person
Jerry Crockrell
Addiction (Substance Use Disorder) Counselor in Manteno, Illinois
NPI 1245799378

Jerry Crockrell is an Addiction (Substance Use Disorder) Counselor based in Park Forest, IL and is specialized in Addiction (Substance Use Disorder). Jerry Crockrell practices in Manteno, IL. The NPI Number for Jerry Crockrell is 1245799378 and holds a License No. (Illinois).

The current practice location address for Jerry Crockrell is 411 W Division St, Manteno, IL and can be reached out via phone at 815-432-5241.

Location: 411 W Division St, Manteno, IL, 60466-2604
person
Provider Profile Details
NPI Number
1245799378
Provider Name
Jerry Crockrell
Credential
Provider Entity Type
Individual
Gender
Male
Address
411 W Division St, Manteno, IL, 60466-2604
Phone Number
815-432-5241
Fax Number
Provider Enumeration Date
03/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
411 W Division St
City
State
Zip
60950-1065
Phone Number
815-432-5241
Fax Number
person
Provider Business Mailing Address Details
Address
411 W Division St
City
State
Zip
60950-1065
Phone Number
815-432-5241
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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