person
Wanda A. Crockett, LPC
Professional Counselor in Richmond, Virginia
NPI 1003803578

Wanda A. Crockett is a Professional Counselor based in Richmond, VA and is specialized in Professional. Wanda A. Crockett practices in Richmond, VA and has the professional credentials of LPC. The NPI Number for Wanda A. Crockett is 1003803578 and holds a License No. 07010000950 (Virginia).

The current practice location address for Wanda A. Crockett is 2006 Bremo Rd, Richmond, VA and can be reached out via phone at 804-288-1881 and via fax at 804-288-1881.

Location: 2006 Bremo Rd, Richmond, VA, 23226-2438
person
Provider Profile Details
NPI Number
1003803578
Provider Name
Wanda A. Crockett
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2006 Bremo Rd, Richmond, VA, 23226-2438
Phone Number
804-288-1881
Fax Number
804-288-1881
Provider Enumeration Date
09/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005401895 05 VA
institution
Provider Business Practice Location Address Details
Address
2006 Bremo Rd
City
State
Zip
23226-2438
Phone Number
804-288-1881
Fax Number
804-288-1881
person
Provider Business Mailing Address Details
Address
2006 Bremo Rd
City
State
Zip
23226-2438
Phone Number
804-288-1881
Fax Number
804-288-1881
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
07010000950 (Virginia)
Definition
Definition to come...
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