| Crockett Counseling Pllc | |
|
1251 W Cornelia Ave Chicago IL 60657-1427 | |
| (952) 200-2150 | |
| Not Available |
| Full Name | Crockett Counseling Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1251 W Cornelia Ave, Chicago, Illinois |
| Authorized Official Name and Position | Sonja Crockett (THERAPIST) |
| Authorized Official Contact | 9522002150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crockett Counseling Pllc 1251 W Cornelia Ave Chicago IL 60657-1427 Ph: (952) 200-2150 | Crockett Counseling Pllc 1251 W Cornelia Ave Chicago IL 60657-1427 Ph: (952) 200-2150 |
| NPI Number | 1073358875 |
|---|---|
| Provider Enumeration Date | 06/25/2024 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073358875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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