Individual
CAROLYN CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 N VILLAGE AVE, ROCKVILLE CENTRE, NY 11570-3761
(347) 967-7801
Mailing address
889 W BEECH ST, LONG BEACH, NY 11561-1517
(347) 967-7801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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