Crockett, Jennifer
Crockett, Jennifer is an individual health care provider with primary practice located at 921 W Avenue J Ste C , Lancaster CA 93534-3443. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Crockett, Jennifer can be contacted via phone (661) 476-0336.Contact Information
Primary practice address
921 W Avenue J Ste C
Lancaster CA 93534-3443
Phone: (661) 476-0336
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | AMFT109951 | California |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT111900 | California |
Profile Details
| NPI number | 1508102146 |
|---|---|
| LBN Legal business name | Crockett, Jennifer |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 1st, 2013 |
| Last updated | Jul 21st, 2022 - about 4 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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