Provider Demographics
NPI:1003584632
Name:CREWS, KAREN D (MFTC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:D
Last Name:CREWS
Suffix:
Gender:F
Credentials:MFTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5995 E ILIFF AVE # A101
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-5723
Mailing Address - Country:US
Mailing Address - Phone:720-298-8871
Mailing Address - Fax:
Practice Address - Street 1:5995 E ILIFF AVE # A101
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5723
Practice Address - Country:US
Practice Address - Phone:720-298-8871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC.0014188106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty