Individual
MS. JAMIE CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.A.
Contact information
Practice address
5603B NEW GARDEN VILLAGE DR, GREENSBORO, NC 27410-8595
(336) 272-8090
Mailing address
5603B NEW GARDEN VILLAGE DR, GREENSBORO, NC 27410-8595
(336) 272-8090
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCA# A9026
NC
Other
Enumeration date
04/03/2012
Last updated
06/18/2014
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