Provider Demographics
NPI:1043301807
Name:CROOK, JON CHRISTOPHER (LMFT, LCDC)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:CHRISTOPHER
Last Name:CROOK
Suffix:
Gender:M
Credentials:LMFT, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3840 HULEN ST STE 602
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-7275
Mailing Address - Country:US
Mailing Address - Phone:817-735-4165
Mailing Address - Fax:817-735-4686
Practice Address - Street 1:3840 HULEN ST STE 602
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-7275
Practice Address - Country:US
Practice Address - Phone:817-735-4165
Practice Address - Fax:817-735-4686
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX003428101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health