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DAVID HUBERT LARUE CROCKETT PH.D.
NPI 1629234620
Counselor - Mental Health in Show Low, AZ

Active since July 30, 2008
2201 N. 22ND AVE., SUITE NUMBER A, SHOW LOW, AZ 85901(928) 537-5696 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About David Hubert Larue Crockett Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID HUBERT LARUE CROCKETT PH.D. (NPI 1629234620) is an individual mental health provider in Show Low, Arizona, licensed in Arizona (LCSW-12500) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1629234620
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDAVID HUBERT LARUE CROCKETTCredential: PH.D.
Location Address2201 N. 22ND AVE., SUITE NUMBER AShow Low, AZ 85901-1587
Mailing AddressPo Box 1587Show Low, AZ 85902-1587 · (928) 537-5696
Phone(928) 537-5696
Sole ProprietorYes
Enumeration DateJuly 30, 2008
✔ NPI 1629234620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AZ · LCSW-12500
2201 N. 22ND AVE., Show Low, AZ 85901
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Crockett's NPI number?

The NPI number for David Crockett is 1629234620. It was assigned to this individual provider in the NPPES registry on July 30, 2008.

Where is David Crockett located?

David Crockett practices at 2201 N. 22nd Ave. Suite Number A, Show Low, AZ 85901. The listed phone number is (928) 537-5696.

What is David Crockett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for David Crockett was last updated on July 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.