Individual
MRS. ANTOINESE MICHELLE CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7907 OSTROW ST STE F, SAN DIEGO, CA 92111-3635
(858) 300-8282
Mailing address
7907 OSTROW ST STE F, SAN DIEGO, CA 92111-3635
(858) 300-8282
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/27/2009
Last updated
05/22/2009
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