CARL CROCKETT

DETROIT, MI
NPI1912025586
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI  MA)
Enumeration Date2007-03-26
Last Update Date2023-09-25
Business Address
CARL CROCKETT M.A
882 OAKMAN BLVD STE D
DETROIT, MI 48238-4019
Phone number: 313-961-7990
Mailing Address
CARL CROCKETT M.A
882 OAKMAN BLVD STE D
DETROIT, MI 48238-4019
Phone number: 313-961-7990
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