Kelton Crooks
Counselor in Taylorsville, UT. Individual provider (NPI-1).
NPI number1982135844
StatusActive
Last updated in NPPESMar 22, 2017
Details
- NPI
- 1982135844
- Entity type
- Individual (NPI-1)
- Name
- Kelton Crooks
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 22, 2017
- Last updated
- Mar 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
6013 S Redwood RdTaylorsville, UT 84123-5220
Phone 801-255-5131 · Fax 801-255-5131
Mailing address
6013 S Redwood RdTaylorsville, UT 84123-5220
Phone 801-255-5131 · Fax 801-255-5131
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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