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AUDRA RENEE CROCKER RADT
NPI 1649844846
Counselor - Addiction (Substance Use Disorder) in Galt, CA

Active since May 13, 2021
750 SPAANS DR STE C, GALT, CA 95632(209) 744-9909(209) 744-9910 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Audra Renee Crocker Radt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDRA RENEE CROCKER RADT (NPI 1649844846) is an individual addiction (substance use disorder) provider in Galt, California, licensed in California (R1429190521) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1649844846
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameAUDRA RENEE CROCKERCredential: RADT
Location Address750 SPAANS DR STE CGalt, CA 95632-8609
Mailing Address750 Spaans Dr Ste CGalt, CA 95632-8609 · (209) 744-9909 · Fax (209) 744-8810
Phone(209) 744-9909
Fax(209) 744-9910
Sole ProprietorNo
Enumeration DateMay 13, 2021
NPPES CertifiedMay 13, 2021
✔ NPI 1649844846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1429190521
750 SPAANS DR STE C, Galt, CA 95632
Open in Google Maps ↗

Other Identifiers 1

Medicaid1912277492CA

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER JEAN MAXEY RADT 1
Counselor (Addiction (Substance Use Disorder))
750 SPAANS DR STE C
GALT, CA 95632
Sacramento County (209) 744-9909
RICKY ANICAS RADT
Counselor (Addiction (Substance Use Disorder))
750 SPAANS DR STE C
GALT, CA 95632
Sacramento County (209) 744-9909
CHRISTINA FECHNER RADT
Counselor (Addiction (Substance Use Disorder))
750 SPAANS DR STE C
GALT, CA 95632
Sacramento County (209) 744-9909
OLIVIA MORAN RADT
Counselor (Addiction (Substance Use Disorder))
750 SPAANS DR STE C
GALT, CA 95632
Sacramento County (209) 744-9909
IRIRIAN CASTANEDA RADT
Counselor (Addiction (Substance Use Disorder))
750 SPAANS DR STE C
GALT, CA 95632
Sacramento County (209) 744-9909
ALEDRIA BLAKE RADT
Counselor (Addiction (Substance Use Disorder))
750 SPAANS DR STE C
GALT, CA 95632
Sacramento County (209) 744-9909
ROBERT COBB RADT
Counselor (Addiction (Substance Use Disorder))
750 SPAANS DR STE C
GALT, CA 95632
Sacramento County (209) 744-9099
JOSEPH RYAN GAYLOR
Counselor (Addiction (Substance Use Disorder))
750 SPAANS DR STE C
GALT, CA 95632
Sacramento County (209) 744-9909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audra Crocker's NPI number?

The NPI number for Audra Crocker is 1649844846. It was assigned to this individual provider in the NPPES registry on May 13, 2021.

Where is Audra Crocker located?

Audra Crocker practices at 750 Spaans Dr Ste C, Galt, CA 95632. The listed phone number is (209) 744-9909.

What is Audra Crocker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Audra Crocker was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.