person
David Hubert Larue Crockett, PHD
Mental Health Counselor in Show Low, Arizona
NPI 1629234620

David Hubert Larue Crockett is a Mental Health Counselor based in Show Low, AZ and is specialized in Mental Health. David Hubert Larue Crockett practices in Show Low, AZ and has the professional credentials of PHD. The NPI Number for David Hubert Larue Crockett is 1629234620 and holds a License No. LCSW-12500 (Arizona).

The current practice location address for David Hubert Larue Crockett is 2201 N. 22Nd Ave., Show Low, AZ and can be reached out via phone at 928-537-5696.

Location: 2201 N. 22Nd Ave., Show Low, AZ, 85902-1587
person
Provider Profile Details
NPI Number
1629234620
Provider Name
David Hubert Larue Crockett
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
2201 N. 22Nd Ave., Show Low, AZ, 85902-1587
Phone Number
928-537-5696
Fax Number
Provider Enumeration Date
07/30/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2201 N. 22Nd Ave.
City
State
Zip
85901-1587
Phone Number
928-537-5696
Fax Number
person
Provider Business Mailing Address Details
Address
2201 N. 22Nd Ave.
City
State
Zip
85901-1587
Phone Number
928-537-5696
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCSW-12500 (Arizona)
Definition
Definition to come...
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