Individual provider · Type 1 NPI

Samuel Crockett, LPC

Professional Counselor · Chicago, IL

NPI number 1699563262 Active

Practice location

124 N Sangamon St
Chicago, IL 60607-2202

Call (312) 226-7984 Map

Fax (312) 980-0482

Mailing address

932 W Washington Blvd
Chicago, IL 60607-2217

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178-021245 (IL)

Professional Counselor: Definition to come...

25 other providers at this address

Other professional counselor providers in Chicago

See all in Chicago →

About NPI 1699563262

Samuel Crockett, LPC's National Provider Identifier is 1699563262, issued on Apr 25, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Apr 25, 2025.