Larry Keith Crocombe, BACACII
Larry Keith Crocombe, BACACII is an Addiction (Substance Use Disorder) Counselor in Pueblo, Colorado. Practices as a sole proprietor. Licensed in Colorado.
- Licensed in
- CO
- In the registry since
- 2007
Practice location Address checks out
509 E 13th StPueblo, CO 81001-2940
Phone: (719) 546-6666
Fax: (719) 543-7764
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 4136 (CO) |
|---|
Record details
| NPI number | 1558562488 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | BACACII |
| Sole proprietor | Yes |
| NPI enumerated | May 29, 2007 |
| Last updated in NPPES | July 8, 2007 |
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