person
Audra Renee Crocker, RADT
Addiction (Substance Use Disorder) Counselor in Galt, California
NPI 1649844846

Audra Renee Crocker is an Addiction (Substance Use Disorder) Counselor based in Galt, CA and is specialized in Addiction (Substance Use Disorder). Audra Renee Crocker practices in Galt, CA and has the professional credentials of RADT. The NPI Number for Audra Renee Crocker is 1649844846 and holds a License No. R1429190521 (California).

The current practice location address for Audra Renee Crocker is 750 Spaans Dr Ste C, Galt, CA and can be reached out via phone at 209-744-9909 and via fax at 209-744-9910.

Location: 750 Spaans Dr Ste C, Galt, CA, 95632-8609
person
Provider Profile Details
NPI Number
1649844846
Provider Name
Audra Renee Crocker
Credential
RADT
Provider Entity Type
Individual
Gender
Female
Address
750 Spaans Dr Ste C, Galt, CA, 95632-8609
Phone Number
209-744-9909
Fax Number
209-744-9910
Provider Enumeration Date
05/13/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1912277492 05 CA
institution
Provider Business Practice Location Address Details
Address
750 Spaans Dr Ste C
City
State
Zip
95632-8609
Phone Number
209-744-9909
Fax Number
209-744-9910
person
Provider Business Mailing Address Details
Address
750 Spaans Dr Ste C
City
State
Zip
95632-8609
Phone Number
209-744-9909
Fax Number
209-744-9910
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1429190521 (California)
Definition
Definition to come...
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