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Myesha S. Crockett

Counselor, Addiction (Substance Use Disorder) in Saginaw, MI. Individual provider (NPI-1).

NPI number1629650601
StatusActive
Last updated in NPPESApr 28, 2021

Details

NPI
1629650601
Entity type
Individual (NPI-1)
Name
Myesha S. Crockett
Sex
Female
Sole proprietor
No
Enumeration date
Apr 28, 2021
Certification date
Apr 28, 2021
Last updated
Apr 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

925 N River Rd
Saginaw, MI 48609-6831

Phone 989-781-2780 · Fax 989-781-7152

Mailing address

411 N Colony Dr Apt 1c
Saginaw, MI 48638-7126

Phone 989-714-8774

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