Individual provider · Type 1 NPI

Theresa Crockett, L.M.H.C.

Mental Health Counselor · Orange Park, FL

NPI number 1164571683 Active

Practice location

1543 Kingsley Ave, Suite 18A
Orange Park, FL 32073-4535

Call (904) 269-3324 Map

Fax (904) 264-2302

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH5726 (FL)

Mental Health Counselor: Definition to come...

24 other providers at this address

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About NPI 1164571683

Theresa Crockett, L.M.H.C.'s National Provider Identifier is 1164571683, issued on Jan 10, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orange Park, FL. The record was last updated on May 16, 2012.