Individual provider · Type 1 NPI

Kathy Crockett, LPC

Professional Counselor · Jackson, MS

NPI number 1528547239 Active

Practice location

3450 Highway 80 W
Jackson, MS 39209-7201

Fax (601) 985-5174

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0287 (MS)

Professional Counselor: Definition to come...

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About NPI 1528547239

Kathy Crockett, LPC's National Provider Identifier is 1528547239, issued on Aug 13, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, MS. The record was last updated on Aug 13, 2018.