Adam Fabian Crooks
Licensed Psychiatric Technician in Orange, CA. Individual provider (NPI-1).
NPI number1215681697
StatusActive
Last updated in NPPESMay 11, 2022
Details
- NPI
- 1215681697
- Entity type
- Individual (NPI-1)
- Name
- Adam Fabian Crooks
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2022
- Certification date
- Feb 7, 2022
- Last updated
- May 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | – | – | Yes |
Practice location
401 S Tustin St Bldg DOrange, CA 92866-2550
Phone 714-289-3936
Mailing address
401 S Tustin St Bldg DOrange, CA 92866-2550
Phone 714-289-3936
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