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General NPI Number Information
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NPI Number | 1639254212
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Entity Type | Individual
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Provider Name | EVELYN SUE CROCKER L.P.C. L.M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2141 OFFICE PARK DR SUITE 5
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City | SAN ANGELO
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State | TX
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Zip | 76904-6836
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Country | US
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Telephone | 325-947-4946
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Fax | 325-944-1398
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Provider Business Mailing Address
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Address Line | PO BOX 60083
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City | SAN ANGELO
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State | TX
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Zip | 76906-0083
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Country | US
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Telephone | 325-947-4946
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Fax | 325-944-1398
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10137
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1695
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License Number State | TX
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