Wanda A. Crockett, LPC

NPI #1003803578 in Richmond, Virginia

Provider Information

NPI Number
1003803578
Entity Type
Individual
Name
Wanda A. Crockett, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Sep 30, 2005
Last Updated
Nov 18, 2008

Practice Location

Address
2006 BREMO RD
Address 2
SUITE 101
ZIP Code
23226-2438
Phone
(804) 288-1881

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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