Tdcrotinger

NPI #1083001002 in Raton, New Mexico

Provider Information

NPI Number: 1083001002
Entity Type: Organization
Organization Name: Tdcrotinger
Primary Specialty: Counselor - Professional
Enumeration Date: Apr 16, 2015
Last Updated: Apr 16, 2015

Practice Location

Address: 205 PARK AVE
City: Raton
State: New Mexico
ZIP Code: 87740-3834
Phone: (575) 303-3500

Authorized Official

Name: TERRY D CROTINGER, LPCC
Title: GROUP OF 1
Phone: (575) 303-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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