MRS. Jennifer Crockett

NPI #1235396250 in Paris, Illinois

Provider Information

NPI Number: 1235396250
Entity Type: Individual
Name: MRS. Jennifer Crockett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: May 19, 2008
Last Updated: Jun 10, 2010

Practice Location

Address: 118 E COURT ST
City: Paris
State: Illinois
ZIP Code: 61944-2210
Phone: (217) 465-4118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Social Worker - Clinical — Clinical	1041C0700X

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