DAVID HUBERT LARUE CROCKETT

SHOW LOW, AZ
NPI1629234620
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LCSW-12500)
Enumeration Date2008-07-30
Last Update Date2008-07-30
Business Address
-- DAVID HUBERT LARUE CROCKETT Ph.D.
2201 N. 22ND AVE. SUITE NUMBER A
SHOW LOW, AZ 85901-1587
Phone number: 928-537-5696
Mailing Address
-- DAVID HUBERT LARUE CROCKETT Ph.D.
PO BOX 1587
SHOW LOW, AZ 85902-1587
Phone number: 928-537-5696