Provider Demographics
NPI:1205156817
Name:CROZIER, PRISCILLA (PRISCILLA CROZIER)
Entity type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:
Last Name:CROZIER
Suffix:
Gender:F
Credentials:PRISCILLA CROZIER
Other - Prefix:
Other - First Name:PRISCILLA
Other - Middle Name:
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:404 OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-6040
Mailing Address - Country:US
Mailing Address - Phone:830-285-5399
Mailing Address - Fax:
Practice Address - Street 1:404 OVERLOOK DR
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-6040
Practice Address - Country:US
Practice Address - Phone:830-285-5399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-04
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63074101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional