JAMIE CROCKETT

LORDSBURG, NM
NPI1326402199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  CTB-2022-0048)
Additional Taxonomies176B00000X Midwife
(Licence: CA  466)
Enumeration Date2016-04-07
Last Update Date2022-04-12
Business Address
JAMIE CROCKETT
530 DE MOSS ST
LORDSBURG, NM 88045-2618
Phone number: 575-542-2369
Mailing Address
JAMIE CROCKETT
530 DE MOSS ST
LORDSBURG, NM 88045-2618
Phone number: 575-542-2369