person
Diane Crockett, LPC
Professional Counselor in Decatur, Georgia
NPI 1588344311

Diane Crockett is a Professional Counselor based in Decatur, GA and is specialized in Professional. Diane Crockett practices in Decatur, GA and has the professional credentials of LPC. The NPI Number for Diane Crockett is 1588344311 and holds a License No. 17803913 (Georgia).

The current practice location address for Diane Crockett is 2807 Misty Waters Dr Apt 40, Decatur, GA and can be reached out via phone at 773-494-3996.

Location: 2807 Misty Waters Dr Apt 40, Decatur, GA, 30032-6621
person
Provider Profile Details
NPI Number
1588344311
Provider Name
Diane Crockett
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2807 Misty Waters Dr Apt 40, Decatur, GA, 30032-6621
Phone Number
773-494-3996
Fax Number
Provider Enumeration Date
07/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2807 Misty Waters Dr Apt 40
City
State
Zip
30032-6622
Phone Number
773-494-3996
Fax Number
person
Provider Business Mailing Address Details
Address
2807 Misty Waters Dr Apt 40
City
State
Zip
30032-6622
Phone Number
773-494-3996
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
17803913 (Illinois)
Definition
Definition to come...
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