Provider Demographics
NPI:1558428367
Name:CROWLEY, GAIL (LPC)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 SWANSTONE DR
Mailing Address - Street 2:63
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-6637
Mailing Address - Country:US
Mailing Address - Phone:970-472-1116
Mailing Address - Fax:970-204-6794
Practice Address - Street 1:3500 SWANSTONE DR
Practice Address - Street 2:#63
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-6637
Practice Address - Country:US
Practice Address - Phone:970-472-1116
Practice Address - Fax:970-204-6794
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO887101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health