Individual provider · Type 1 NPI

Audra Renee Crocker, RADT

Addiction (Substance Use Disorder) Counselor · Galt, CA

NPI number 1649844846 Active

Practice location

750 Spaans Dr Ste C
Galt, CA 95632-8609

Call (209) 744-9909 Map

Fax (209) 744-9910

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1429190521 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1649844846

Audra Renee Crocker, RADT's National Provider Identifier is 1649844846, issued on May 13, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Galt, CA. The record was last updated on May 13, 2021.