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

DAVID HUBERT LARUE CROCKETT, PH.D.

Active Sole Proprietor

DAVID HUBERT LARUE CROCKETT, PH.D. is a Mental Health Counselor healthcare provider located in SHOW LOW, Arizona. NPI 1629234620 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · SHOW LOW, AZ

Registration Details

NPI Number
1629234620
Provider Type
Individual
Gender
Male
NPI Issued
Jul 30, 2008 (18.002187520303 yrs)
Last Updated
Jul 30, 2008
License
LCSW-12500 (AZ)
Sole Proprietor
Yes

Practice Information

Address
2201 N. 22ND AVE.
SUITE NUMBER A
SHOW LOW, AZ, 859011587
Browse AZ providers · Browse ZIP 85901
Phone
9285375696
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in SHOW LOW, AZ

Name Credential NPI
ERICK C RASK LPC 1912091851
MR. RICHARD LAURITZEN LPC 1407977010
BRIAN KEITH MERRILL 1790979037
RICHARD WRIGHT LPC 1568705366
JODY MARIE GASKILL LAC 1003459884
MARCELENE CAMOU LPCC 1194369470
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.