Jamie Crockett

NPI #1326402199 in Lordsburg, New Mexico

Provider Information

NPI Number: 1326402199
Entity Type: Individual
Name: Jamie Crockett
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 7, 2016
Last Updated: Apr 12, 2022

Practice Location

Address: 530 DE MOSS ST
City: Lordsburg
State: New Mexico
ZIP Code: 88045-2618
Phone: (575) 542-2369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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