Provider Demographics
NPI:1700689049
Name:DECROW-GREEN, MADISON (CAS, MA, NCC, LPCC)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:
Last Name:DECROW-GREEN
Suffix:
Gender:F
Credentials:CAS, MA, NCC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 E GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:FRUITA
Mailing Address - State:CO
Mailing Address - Zip Code:81521-3110
Mailing Address - Country:US
Mailing Address - Phone:970-986-7605
Mailing Address - Fax:
Practice Address - Street 1:1212 BOOKCLIFF AVE STE 3
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-8161
Practice Address - Country:US
Practice Address - Phone:970-697-4169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health