Individual provider · Type 1 NPI

Ainigriv Crockett, LCPC

Mental Health Counselor · Columbia, MD

NPI number 1306500657 Active

Practice location

8894 Stanford Blvd
Columbia, MD 21045-4794

Mailing address

8894 Stanford Blvd Ste 103
Columbia, MD 21045-5161

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLC12104 (MD)
Mental Health Counselor 101YM0800XLGP10310 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1306500657

Ainigriv Crockett, LCPC's National Provider Identifier is 1306500657, issued on Oct 22, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbia, MD. The record was last updated on Aug 15, 2023.