Charles Crockett, MA, AMFT Valid NPI
Individual provider · Marriage & Family Therapist · Lafayette, CA
- NPI
- 1407601206
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- License number
- 142087 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2024-04-23
- Last updated
- 2024-04-23
Practice location
978 2nd St Ste 200
Lafayette, CA 94549-4545
(925) 240-3620