Juanita Crockett
Juanita Crockett is an Addiction (Substance Use Disorder) Counselor in New York, New York. Licensed in New York. Registered with an NPI since 2016.
- Licensed in
- NY
- In the registry since
- 2016
Practice location Address checks out
2369 2nd AveNew York, NY 10035-3108
Phone: (212) 876-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 22779 (NY) |
|---|
Record details
| NPI number | 1861859951 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 21, 2016 |
| Last updated in NPPES | January 21, 2016 |
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