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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBERTA CROCKETT, M.A., LMFT, LCPC

Active Sole Proprietor

ROBERTA CROCKETT, M.A., LMFT, LCPC is a Marriage & Family Therapist healthcare provider located in BOISE, Idaho. NPI 1033209341 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · BOISE, ID

Registration Details

NPI Number
1033209341
Provider Type
Individual
Gender
Female
NPI Issued
Oct 15, 2006 (19.786711213079 yrs)
Last Updated
Nov 19, 2018
Licenses
LCPC-238 (ID)
LMFT-1 (ID)
Sole Proprietor
Yes

Practice Information

Address
1407 N 13TH ST
BOISE, ID, 837023531
Browse ID providers · Browse ZIP 83702
Phone
2083451022
Fax
2084331407
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in BOISE, ID

Name Credential NPI
MS. CAROLE JANICE CARTER MS LCPC LMFT NCC 1750491031
MS. HOLLEY REILLY BLITZ MA MFT 1255437950
MR. MICHAEL PINKERTON MFT 1417016288
DR. MICHAEL JOHN EISENBEISS SR. PSYCHOLOGIST COUNSEL 1740343235
JOHN CAMERON PREECE L.M.F.T. 1093871436
DR. FREDERICK EDWARD HOADLEY D. MIN. 1144387598
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.