person
Kathy Crockett, LPC
Professional Counselor in Jackson, Mississippi
NPI 1528547239

Kathy Crockett is a Professional Counselor based in Jackson, MS and is specialized in Professional. Kathy Crockett practices in Jackson, MS and has the professional credentials of LPC. The NPI Number for Kathy Crockett is 1528547239 and holds a License No. 0287 (Mississippi).

The current practice location address for Kathy Crockett is 3450 Highway 80 W, Jackson, MS and can be reached out via phone at 601-321-2400 and via fax at 601-985-5174.

Location: 3450 Highway 80 W, Jackson, MS, 39209-7201
person
Provider Profile Details
NPI Number
1528547239
Provider Name
Kathy Crockett
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3450 Highway 80 W, Jackson, MS, 39209-7201
Phone Number
601-321-2400
Fax Number
601-985-5174
Provider Enumeration Date
08/13/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018209 05 MS
institution
Provider Business Practice Location Address Details
Address
3450 Highway 80 W
City
State
Zip
39209-7201
Phone Number
601-321-2400
Fax Number
601-985-5174
person
Provider Business Mailing Address Details
Address
3450 Highway 80 W
City
State
Zip
39209-7201
Phone Number
601-321-2400
Fax Number
601-985-5174
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0287 (Mississippi)
Definition
Definition to come...
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