Jerry Crockrell
Jerry Crockrell is an Addiction (Substance Use Disorder) Counselor in Manteno, Illinois. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
411 W Division StManteno, IL 60950-1065
Phone: (815) 432-5241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1245799378 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 18, 2019 |
| Last updated in NPPES | March 17, 2020 |
| Certification date | March 17, 2020 |
| Mailing address | 136 N Arbor Trl, Park Forest, IL 60466-2604 |
Other providers in Manteno
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Darrell Donovan, CADC
411 W Division St, Manteno, IL 60950-1065 · (815) 432-5241
-
Brian Finkelstein, CADC
411 W Division St, Manteno, IL 60950-1065 · (815) 432-5241
-
Michele Forsythe
411 W Division St, Manteno, IL 60950-1065 · (815) 432-5241
-
Reyna Hammerlund, CADC
411 W Division St, Manteno, IL 60950-1065 · (815) 432-5241