Individual
MR. GEOFFREY ALLEN CROCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED, LCPC, NCC
Contact information
Practice address
8229 CLOVERLEAF DR STE 425, MILLERSVILLE, MD 21108-1594
(443) 617-8862
Mailing address
729 RAVENWOOD DR, GLEN BURNIE, MD 21060-7695
(443) 617-8862
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC14619
MD
Other
Enumeration date
11/11/2021
Last updated
08/27/2024
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