Crockett, Jennafer Jolleen

Crockett, Jennafer Jolleen is an sole proprietor health care provider with primary practice located at 1010 S Garden Ave , Roswell NM 88203-6866. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Crockett, Jennafer Jolleen can be contacted via phone (575) 623-7660.

Contact Information

Primary practice address
1010 S Garden Ave Roswell NM 88203-6866
Phone: (575) 623-7660
Fax: (575) 623-2604
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0172701 New Mexico
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1023434198
LBN Legal business name Crockett, Jennafer Jolleen
Credentials LMHC, MFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2014
Last updated Mar 5th, 2015 - about 10 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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