JOHN PAUL CROCKETT

PHOENIX, AZ
NPI1699340638
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: AZ  LAC-18633)
Enumeration Date2021-05-21
Last Update Date2021-05-21
Business Address
JOHN PAUL CROCKETT LAC
9225 N 3RD ST STE 102
PHOENIX, AZ 85020-2455
Phone number: 480-531-6636
Mailing Address
JOHN PAUL CROCKETT LAC
9225 N 3RD ST STE 102
PHOENIX, AZ 85020-2455
Phone number: 480-531-6636