Individual
MELINDA CALLICOAT CROCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LAMFT
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-14161
AZ
106H00000X
Marriage & Family Therapist
LAMFT-10349
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
816306
—
AZ
Enumeration date
07/09/2012
Last updated
02/18/2025
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