Individual provider · Type 1 NPI
David Hubert Larue Crockett, PhD
Mental Health Counselor · Show Low, AZ
NPI number
1629234620
Active
Practice location
2201 N. 22nd Ave., Suite Number A
Show Low, AZ 85901-1587
Mailing address
PO Box 1587
Show Low, AZ 85902-1587
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LCSW-12500 (AZ) |
Mental Health Counselor: Definition to come...
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- Stephanie SchurkensMental Health Counselor Show Low, AZ NPI 1457120990
- Kristine Rumzis, LPCMental Health Counselor Show Low, AZ NPI 1508500448
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About NPI 1629234620
David Hubert Larue Crockett, PhD's National Provider Identifier is 1629234620, issued on Jul 30, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Show Low, AZ. The record was last updated on Jul 30, 2008.