Gates-Crandall, Trevor G
Gates-Crandall, Trevor G is an sole proprietor health care provider with primary practice located at 3000 Wedgewood Dr # 2215 , Pueblo CO 81005-2300. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gates-Crandall, Trevor G can be contacted via phone (817) 825-7662.Contact Information
Primary practice address
3000 Wedgewood Dr # 2215
Pueblo CO 81005-2300
Phone: (817) 825-7662
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 73080344 | New York |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 27722 | New York |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW.09927211 | Colorado |
Profile Details
NPI number | 1316982705 |
---|---|
LBN Legal business name | Gates-Crandall, Trevor G |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 18th, 2006 |
Last updated | Feb 5th, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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