person
Mr. Charles Burleson Crockett
Mental Health Counselor in Beaufort, South Carolina
NPI 1609963453

Charles Burleson Crockett is a Mental Health Counselor based in Beaufort, SC and is specialized in Mental Health. Charles Burleson Crockett practices in Beaufort, SC. The NPI Number for Charles Burleson Crockett is 1609963453 and holds a License No. (South Carolina).

The current practice location address for Charles Burleson Crockett is 1050 Ribaut Rd, Beaufort, SC and can be reached out via phone at 843-524-3379. You can also correspond with Charles Burleson Crockett through the mailing address at 1050 RIBAUT RD, BEAUFORT, SC - 29902-5400 (mailing address contact number: 843-524-3379).

Location: 1050 Ribaut Rd, Beaufort, SC, 29902-5400
person
Provider Profile Details
NPI Number
1609963453
Provider Name
Charles Burleson Crockett
Credential
Provider Entity Type
Individual
Gender
Male
Address
1050 Ribaut Rd, Beaufort, SC, 29902-5400
Phone Number
843-524-3379
Fax Number
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1609963453 05 SC
institution
Provider Business Practice Location Address Details
Address
1050 Ribaut Rd
City
State
Zip
29902-5400
Phone Number
843-524-3379
Fax Number
person
Provider Business Mailing Address Details
Address
1050 Ribaut Rd
City
State
Zip
29902-5400
Phone Number
843-524-3379
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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