Individual provider · Type 1 NPI
John Paul Crockett, LAC
Professional Counselor · Phoenix, AZ
NPI number
1699340638
Active
Practice location
13421 N 43rd Ave Apt 2110
Phoenix, AZ 85029-1038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-24802 (AZ) |
Professional Counselor: Definition to come...
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About NPI 1699340638
John Paul Crockett, LAC's National Provider Identifier is 1699340638, issued on May 21, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 16, 2026.