Wanda A. Crockett
Professional Counselor
2006 Bremo Rd Suite 101
Richmond
, Virginia 23226-2438
Wanda A. Crockett
Professional Counselor
2006 Bremo Rd Suite 101
Richmond
, Virginia 23226-2438
(804) 288-1881
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Wanda A. Crockett
- 2006 Bremo Rd Suite 101
- Richmond, VA
- Zip : 23226-2438
- Fax : (804) 288-1881
- Phone : (804) 288-1881
Second Address
- Wanda A. Crockett
- 2006 Bremo Rd Suite 101
- Richmond, VA
- Zip : 23226-2438
- Fax : (804) 288-1881
- Phone : (804) 288-1881
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | 07010000950 | VA |
National Provider Identifier
| NPI | 1003803578 |
|---|---|
| Provider Name | Wanda A. Crockett |
| First Address | Richmond, VA 23226-2438 |
| Second Address | Richmond, VA 23226-2438 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2005 |
| Last Update Date | 18/11/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 005401895 | (05) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.