THERESA CROCKETT

ORANGE PARK, FL
NPI1164571683
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH5726)
Enumeration Date2007-01-10
Last Update Date2012-05-16
Business Address
-- THERESA CROCKETT L.M.H.C.
1543 KINGSLEY AVE SUITE 18A
ORANGE PARK, FL 32073-4535
Phone number: 904-269-3324
Mailing Address
-- THERESA CROCKETT L.M.H.C.
1543 KINGSLEY AVE SUITE 18A
ORANGE PARK, FL 32073-4535
Phone number: 904-269-3324
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