Wanda Crockett, LPC

NPI 1003803578 · on the registry since 2005

Practice

Address: 2006 Bremo Rd
Suite 101
Richmond, VA 23226
Phone: (804) 288-1881
Fax: (804) 288-1881
Organisation at this address: Early Autism Services
Pathways To Life, Inc
Greater Virginia Medical Group
Glacier Health And Development Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 104

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-11-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia