Individual provider · Type 1 NPI

Audrey Crockett

Professional Counselor · Baltimore, MD

NPI number 1164814489 Active

Practice location

14 S Broadway
Baltimore, MD 21231-1712

Call (865) 228-9412 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLGP5888 (MD)

Professional Counselor: Definition to come...

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About NPI 1164814489

Audrey Crockett's National Provider Identifier is 1164814489, issued on Feb 24, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Baltimore, MD. The record was last updated on Feb 24, 2015.