David Hubert Larue Crockett, PHD - Counselor in Show Low, AZ

David Hubert Larue Crockett, PHD is a Counselor - Mental Health based in Show Low, Arizona. David Hubert Larue Crockett is licensed to practice in Arizona (license number LCSW-12500) and his current practice location is 2201 N. 22nd Ave., Suite Number A, Show Low, Arizona. He can be reached at his office (for appointments etc.) via phone at (928) 537-5696.

NPI number for David Hubert Larue Crockett is 1629234620 and his current mailing address is Po Box 1587, Show Low, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629234620.

Contact Information

David Hubert Larue Crockett, PHD
2201 N. 22nd Ave., Suite Number A,
Show Low, AZ 85901-1587
(928) 537-5696
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDavid Hubert Larue Crockett
GenderMale
SpecialityCounselor - Mental Health
Location2201 N. 22nd Ave., Show Low, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629234620
  • Provider Enumeration Date: 07/30/2008
  • Last Update Date: 07/30/2008

Medical Identifiers

Medical identifiers for David Hubert Larue Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629234620NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LCSW-12500 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Hubert Larue Crockett is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David Hubert Larue Crockett, PHD
Po Box 1587,
Show Low, AZ 85902-1587

Ph: (928) 537-5696
David Hubert Larue Crockett, PHD
2201 N. 22nd Ave., Suite Number A,
Show Low, AZ 85901-1587

Ph: (928) 537-5696

Reviews and Comments


Counselor in Show Low, AZ

Jody Marie Gaskill, LAC
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Dr. Jean M. Lee, D.MIN.
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Ms. Judith Ann Collier, RN, BSN, M.ED. LISAC
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Ms. Sarah Simpson, LCSW
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Phone: 928-242-0920    

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