Individual provider · Type 1 NPI

Charles Crockett, MA, AMFT

Marriage & Family Therapist · Lafayette, CA

NPI number 1407601206 Active

Practice location

978 2nd St Ste 200
Lafayette, CA 94549-4545

Mailing address

3190 Oak Rd Apt 220
Walnut Creek, CA 94597-7763

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X142087 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1407601206

Charles Crockett, MA, AMFT's National Provider Identifier is 1407601206, issued on Apr 23, 2024. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Lafayette, CA. The record was last updated on Apr 23, 2024.