| Mary K Crook Lpc Llc | |
|
3633 Wheeler Rd Ste 100 Augusta GA 30909-6550 | |
| (706) 364-0252 | |
| Not Available |
| Full Name | Mary K Crook Lpc Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3633 Wheeler Rd Ste 100, Augusta, Georgia |
| Authorized Official Name and Position | Mary K Crook (THERAPIST) |
| Authorized Official Contact | 7063058980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary K Crook Lpc Llc 3633 Wheeler Rd Ste 100 Augusta GA 30909-6550 Ph: (706) 364-0252 | Mary K Crook Lpc Llc 3633 Wheeler Rd Ste 100 Augusta GA 30909-6550 Ph: (706) 364-0252 |
| NPI Number | 1225642812 |
|---|---|
| Provider Enumeration Date | 09/01/2020 |
| Last Update Date | 09/01/2020 |
| Certification Date | 09/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225642812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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