David Hubert Larue Crockett PH.D.

NPI 1629234620 - Counselor - 101YM0800X

NPI Details
NPI 1629234620
Gender Male
Enumeration Date 07/30/2008
Last Updated 07/30/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2201 N. 22ND AVE.
SUITE NUMBER A
SHOW LOW AZ, 85901-1587, US
Phone (928) 537-5696
Fax
Business Location
PO BOX 1587
SHOW LOW AZ, 85902-1587, US
Phone (928) 537-5696
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Arizona
License Number LCSW-12500
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According to our database, David Hubert Larue Crockett PH.D. NPI is 1629234620, taxonomy code is 101YM0800X and license number is LCSW-12500, license state is located at Arizona. David Hubert Larue Crockett PH.D. physically located at 2201 N. 22nd Ave., Show Low AZ, 85901-1587. NPI Number David Hubert Larue Crockett PH.D. has the Individual type.

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1629234620 NPI number is provided on an as is basis without warranty of any kind. 1629234620 is maintained by the National Plan & Provider Enumeration System. The contents of David Hubert Larue Crockett PH.D. are for informational purposes only.