person
Mattie N Crockett, LPC,MHSP
Professional Counselor in Murfreesboro, Tennessee
NPI 1952975005

Mattie N Crockett is a Professional Counselor based in Murfreesboro, TN and is specialized in Professional. Mattie N Crockett practices in Murfreesboro, TN and has the professional credentials of LPC,MHSP. The NPI Number for Mattie N Crockett is 1952975005 and holds a License No. 4912 (Tennessee).

The current practice location address for Mattie N Crockett is 319 W Mcknight Dr, Murfreesboro, TN and can be reached out via phone at 615-896-9160 and via fax at 615-890-4555. You can also correspond with Mattie N Crockett through the mailing address at 319 W MCKNIGHT DR, MURFREESBORO, TN - 37129-2450 (mailing address contact number: 615-896-9160).

Location: 319 W Mcknight Dr, Murfreesboro, TN, 37129-2450
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Provider Profile Details
NPI Number
1952975005
Provider Name
Mattie N Crockett
Credential
LPC,MHSP
Provider Entity Type
Individual
Gender
Female
Address
319 W Mcknight Dr, Murfreesboro, TN, 37129-2450
Phone Number
615-896-9160
Fax Number
615-890-4555
Provider Enumeration Date
05/13/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4912 01 TN TEMP LIC
institution
Provider Business Practice Location Address Details
Address
319 W Mcknight Dr
City
State
Zip
37129-2450
Phone Number
615-896-9160
Fax Number
615-890-4555
person
Provider Business Mailing Address Details
Address
319 W Mcknight Dr
City
State
Zip
37129-2450
Phone Number
615-896-9160
Fax Number
615-890-4555
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4912 (Tennessee)
Definition
Definition to come...
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