Jerry Crockrell

NPI #1245799378 in Manteno, Illinois

Provider Information

NPI Number
1245799378
Entity Type
Individual
Name
Jerry Crockrell
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Mar 18, 2019
Last Updated
Mar 17, 2020

Practice Location

Address
411 W DIVISION ST
ZIP Code
60950-1065
Phone
(815) 432-5241

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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