Individual provider · Type 1 NPI

Rita Agnes Crockett, LPC, LADC

Mental Health Counselor · Oklahoma City, OK

NPI number 1326079930 Active

Practice location

5228 Classen Cir
Oklahoma City, OK 73118-4429

Fax (405) 840-9017

Mailing address

3300 N Vermont Ave
Oklahoma City, OK 73112-3133

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X32 (OK)
Mental Health Counselor Primary 101YM0800X1898 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1326079930

Rita Agnes Crockett, LPC, LADC's National Provider Identifier is 1326079930, issued on Jul 5, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Oct 14, 2009.