THERESA CROCKETT, L.M.H.C.

Counselor - Mental Health

Active Individual
NPI: 1164571683

Practice Address

1543 KINGSLEY AVE
SUITE 18A
Orange Park, FL 32073

Phone: (904) 269-3324

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes MH5726 (FL)

Frequently Asked Questions

NPI 1164571683 is the National Provider Identifier for THERESA CROCKETT, L.M.H.C., a Counselor - Mental Health provider located in Orange Park, FL. This NPI was enumerated on January 10, 2007.
THERESA CROCKETT, L.M.H.C. practices at 1543 KINGSLEY AVE, SUITE 18A, Orange Park, FL 32073.

Quick Facts

NPI
1164571683
Type
Individual
Enumerated
Jan 10, 2007
Last Updated
May 16, 2012

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