Individual ProviderJennifer CrosonCounselorBehavioral Health & Social Service ProvidersPractice Address601 Wall St, Valparaiso, IN 46383-2512(219) 763-8832PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Croson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:05 AM.Profile DetailsProvider ID1245581420Provider TypeIndividualFull NameCroson, JenniferTitleMrs.GenderFemaleSole ProprietorNoEnumeration Date9/27/2012Last Updated9/29/2014Contact InformationPractice LocationPractice Address601 Wall St, Valparaiso, IN 46383-2512Phone(219) 763-8832FaxUnlisted FaxMailing LocationMailing Address601 Wall St, Valparaiso, IN 46383-2512PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer