person
Theresa Crockett, LMHC
Mental Health Counselor in Orange Park, Florida
NPI 1164571683

Theresa Crockett is a Mental Health Counselor based in Orange Park, FL and is specialized in Mental Health. Theresa Crockett practices in Orange Park, FL and has the professional credentials of LMHC. The NPI Number for Theresa Crockett is 1164571683 and holds a License No. MH5726 (Florida).

The current practice location address for Theresa Crockett is 1543 Kingsley Ave, Orange Park, FL and can be reached out via phone at 904-269-3324 and via fax at 904-264-2302.

Location: 1543 Kingsley Ave, Orange Park, FL, 32073-4535
person
Provider Profile Details
NPI Number
1164571683
Provider Name
Theresa Crockett
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
1543 Kingsley Ave, Orange Park, FL, 32073-4535
Phone Number
904-269-3324
Fax Number
904-264-2302
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1543 Kingsley Ave
City
State
Zip
32073-4535
Phone Number
904-269-3324
Fax Number
904-264-2302
person
Provider Business Mailing Address Details
Address
1543 Kingsley Ave
City
State
Zip
32073-4535
Phone Number
904-269-3324
Fax Number
904-264-2302
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH5726 (Florida)
Definition
Definition to come...
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