| Crockett And Associates Llc | |
|
4113 Bridgeport Way W Ste F University Place WA 98466-4325 | |
| (253) 444-5450 | |
| Not Available |
| Full Name | Crockett And Associates Llc |
|---|---|
| Speciality | Counselor |
| Location | 4113 Bridgeport Way W Ste F, University Place, Washington |
| Authorized Official Name and Position | Patricia Gonny Crockett (OWNER/THERAPIST) |
| Authorized Official Contact | 2534445450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crockett And Associates Llc 4113 Bridgeport Way W Ste F University Place WA 98466-4325 Ph: (253) 444-5450 | Crockett And Associates Llc 4113 Bridgeport Way W Ste F University Place WA 98466-4325 Ph: (253) 444-5450 |
| NPI Number | 1164305496 |
|---|---|
| Provider Enumeration Date | 07/25/2025 |
| Last Update Date | 07/25/2025 |
| Certification Date | 07/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164305496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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