Individual provider · Type 1 NPI

Ida Denise Crockett

Mental Health Counselor · Greenwood, MS

NPI number 1639964992 Active

Practice location

2504 Browning Road 520
Greenwood, MS 38930-6022

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0397 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1639964992

Ida Denise Crockett's National Provider Identifier is 1639964992, issued on Apr 9, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greenwood, MS. The record was last updated on Apr 9, 2025.