Provider Demographics
NPI:1114047172
Name:MESSER, CRYSTAL CAMPBELL (LCSW CAC III)
Entity Type:Individual
Prefix:MRS
First Name:CRYSTAL
Middle Name:CAMPBELL
Last Name:MESSER
Suffix:
Gender:F
Credentials:LCSW CAC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1827 QUAIL ST APT 9
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-2735
Mailing Address - Country:US
Mailing Address - Phone:303-638-8131
Mailing Address - Fax:303-233-3204
Practice Address - Street 1:9035 WADSWORTH PKWY
Practice Address - Street 2:SUITE #2750
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-8634
Practice Address - Country:US
Practice Address - Phone:303-638-8131
Practice Address - Fax:303-233-3204
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5437101YA0400X
CO989983101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health