Individual provider · Type 1 NPI

Mary Clare Crocker, LPC

Professional Counselor · Boulder, CO

NPI number 1629646609 Active

Practice location

5277 Manhattan Cir Ste 250
Boulder, CO 80303-8212

Mailing address

1911 W Chaffee Pl
Denver, CO 80211-1542

Other practice locations

  • 1221 Abrams Rd, Richardson, TX 75081-5578 · (972) 638-7199

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X82375 (TX)
Professional Counselor Primary 101YP2500XLPC0017108 (CO)

Professional Counselor: Definition to come...

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About NPI 1629646609

Mary Clare Crocker, LPC's National Provider Identifier is 1629646609, issued on Jun 15, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boulder, CO. The record was last updated on Jun 15, 2021.