Individual
ATHENA CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., M.ED., LPC
Contact information
Practice address
131 DEGAN AVE, SUITE 102, LEWISVILLE, TX 75057-3622
(972) 571-0971
Mailing address
477 RICHLAND ST, LEWISVILLE, TX 75057-3755
(972) 571-0971
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
18163
TX
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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