Jamie Crockett, M.S., L.P.C.A.
Counselor in Greensboro, NC. Individual provider (NPI-1).
NPI number1255697371
StatusActive
Last updated in NPPESJun 18, 2014
Details
- NPI
- 1255697371
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jamie Crockett
- Credential
- M.S., L.P.C.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2012
- Last updated
- Jun 18, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | LPCA# A9026 | NC | Yes |
Practice location
5603b New Garden Village DrGreensboro, NC 27410-8595
Phone 336-272-8090
Mailing address
5603b New Garden Village DrGreensboro, NC 27410-8595
Phone 336-272-8090
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