Individual
MARGAUX CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12862 NORWOOD RD, DONNELLY, ID 83615-5028
(208) 860-2488
Mailing address
PO BOX 653, DONNELLY, ID 83615-0653
(208) 860-2488
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-5683
ID
Other
Enumeration date
03/27/2015
Last updated
03/09/2026
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