MATTIE N CROCKETT

KINGSPORT, TN
NPI1952975005
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor Professional
(Licence: TN  4912)
Enumeration Date2021-05-13
Last Update Date2024-08-14
Business Address
MATTIE N CROCKETT LPC, MHSP
1536 BRIDGEWATER LN STE 104
KINGSPORT, TN 37660-4103
Phone number: 423-534-7824
Mailing Address
MATTIE N CROCKETT LPC, MHSP
301 LARKSPUR DR
KINGSPORT, TN 37660-6225
Phone number: 276-639-5676
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