Individual
BRIDGETTE CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
3178 HILTON RD, FERNDALE, MI 48220
(483) 312-7442
Mailing address
3178 HILTON RD, FERNDALE, MI 48220-1059
(483) 312-7442
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017079
MI
Other
Enumeration date
01/18/2017
Last updated
11/13/2019
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