Individual provider · Type 1 NPI

Brian P. Crockett, LADC I

Addiction (Substance Use Disorder) Counselor · Taunton, MA

NPI number 1376848309 Active

Practice location

66 Main St
Taunton, MA 02780-2777

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2363 (MA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1376848309

Brian P. Crockett, LADC I's National Provider Identifier is 1376848309, issued on Jan 24, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Taunton, MA. The record was last updated on Jan 24, 2011.