DAVID E CROCKETT

ALBANY, OR
NPI1871003905
Former NameDAVID E LAPHAM
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-10-03
Last Update Date2023-04-27
Business Address
DAVID E CROCKETT
2730 PACIFIC BLVD SE
ALBANY, OR 97321-5075
Phone number: 541-967-3866
Mailing Address
DAVID E CROCKETT
PO BOX 100
ALBANY, OR 97321-0031
Phone number: 541-967-3866
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