Individual
CHAD MICHAEL CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 SW B ST, ANTLERS, OK 74523-3824
(580) 298-3001
Mailing address
69 KATS AVE, DURANT, OK 74701-0263
(405) 762-0408
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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