| Brian Crockett Counseling, Llc | |
|
89 Main St Ste 304 Milford MA 01757-2600 | |
| (978) 536-1056 | |
| Not Available |
| Full Name | Brian Crockett Counseling, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 89 Main St Ste 304, Milford, Massachusetts |
| Authorized Official Name and Position | Brian Crockett (OWNER, COUNSELOR) |
| Authorized Official Contact | 9789797257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Crockett Counseling, Llc 89 Main St Ste 304 Milford MA 01757-2600 Ph: (978) 536-1056 | Brian Crockett Counseling, Llc 89 Main St Ste 304 Milford MA 01757-2600 Ph: (978) 536-1056 |
| NPI Number | 1306402649 |
|---|---|
| Provider Enumeration Date | 05/13/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306402649 | NPI | - | NPPES |
| 1376848309 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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