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NPI Code Detail

MEDICARE: JAZMIN CROOKES MA, LPC

MEDICARE: JAZMIN CROOKES MA, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor83990TX
2106S00000XBehavior TechnicianRBT-18-48413TX

General Provider Information

NPI Number : 1467929208
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAZMIN CROOKES MA, LPC
Provider Business Mailing Address
First Line : 11680 OAK MOSS LN
Second Line :
City : WILLIS
State : TX
Zip : 77378-6092
Country : US
Telephone Number : 512-757-8733
Fax Number : 512-757-8738
Provider Business Practice Location Address
First Line : 4119 MONTROSE BLVD STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77006-4970
Country : US
Telephone Number : 512-456-9183
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2018
Last Update Date : 10/02/2025

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Directions to “ JAZMIN CROOKES MA, LPC” Practice Location

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