Jodi Crockford is a Counselor based in Farmington, NM. Jodi Crockford practices in Farmington, NM. The NPI Number for Jodi Crockford is 1982021499 and holds a License No. (New Mexico).
The current practice location address for Jodi Crockford is 2015 E 12Th St, Farmington, NM and can be reached out via phone at 505-326-2695.
Location: 2015 E 12Th St, Farmington, NM, 87401-7460
Provider Profile Details
NPI Number
1982021499
Provider Name
Jodi Crockford
Credential
Provider Entity Type
Individual
Gender
Female
Address
2015 E 12Th St, Farmington, NM, 87401-7460
Phone Number
505-326-2695
Fax Number
Provider Enumeration Date
03/21/2014
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44933 | 05 | NM |
Provider Business Practice Location Address Details
Address
2015 E 12Th St
City
State
Zip
87401-7460
Phone Number
505-326-2695
Fax Number
Provider Business Mailing Address Details
Address
2015 E 12Th St
City
State
Zip
87401-7460
Phone Number
505-326-2695
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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