Provider Demographics
NPI:1881632768
Name:CROW, CALYN (LPC, CAC III, NCC)
Entity Type:Individual
Prefix:
First Name:CALYN
Middle Name:
Last Name:CROW
Suffix:
Gender:F
Credentials:LPC, CAC III, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 S MADISON ST STE 332
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-3069
Mailing Address - Country:US
Mailing Address - Phone:303-588-0659
Mailing Address - Fax:
Practice Address - Street 1:2797 WEWATTA WAY UNIT 2045
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216-3640
Practice Address - Country:US
Practice Address - Phone:303-588-0659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5774101YA0400X
CO3101101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional