Crocker, Sandra Gail

Crocker, Sandra Gail is an individual health care provider with primary practice located at 9609 Jefferson Davis Hwy , North Chesterfield VA 23237-4621. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Crocker, Sandra Gail can be contacted via phone (804) 275-1116.

Contact Information

Primary practice address
9609 Jefferson Davis Hwy North Chesterfield VA 23237-4621
Phone: (804) 275-1116
Fax: (804) 275-1850
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710102955 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X 00116571 Virginia
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0701007231 Virginia

Profile Details

NPI number 1417462052
LBN Legal business name Crocker, Sandra Gail
Credentials LPC, CSAC, CRC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2017
Last updated Dec 5th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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