AUDRA RENEE CROCKER

GALT, CA
NPI1649844846
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1429190521)
Enumeration Date2021-05-13
Last Update Date2021-05-13
Business Address
AUDRA RENEE CROCKER RADT
750 SPAANS DR STE C
GALT, CA 95632-8609
Phone number: 209-744-9909
Mailing Address
AUDRA RENEE CROCKER RADT
750 SPAANS DR STE C
GALT, CA 95632-8609
Phone number: 209-744-9909