Female

Joanna M. Crockett

Professional Counselor in Evans, GA(View on Map)

Full Name

Joanna Mann Crockett

NPI Number

1982265294

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/26/2019

Specialties

(Taxonomies)

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

LPC007932

Contact
Information

Purpose

Mailing
Location

Address

3633 WHEELER RD STE 365
1202 TOWN PARK LN STE 300

City

Augusta
Evans

State

GA
GA

Postal Code

30909-6549
30809-3477

Country

US
US

Telephone Number

(706) 432-6866
(706) 210-8855

Health Information Exchange

Endpoint Type

CONNECT

Endpoint

mygbhp.com

Endpoint Description

mygbhp.com

Use

Health Information Exchange (HIE)

Content Type

CSV

Affiliation

N

Endpoint Location

3633 Wheeler Rd Ste 365Augusta, GA309096549US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/05/2024

Provider Address

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