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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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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