NPI 1003803578

Wanda A. Crockett, LPC

Practitioner Professional Counselor Richmond, VA

Practice location

Address: 2006 Bremo Rd Suite 101, Richmond, VA 23226-2438
Phone: (804) 288-1881
Fax: (804) 288-1881

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 07010000950 (VA)

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Registry record

NPI: 1003803578
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Sep 2005
Record last updated: 18 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.