Individual
RICHARD R. CROCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
46 MASCOMA ST, LEBANON, NH 03766-2629
(603) 381-2564
(602) 646-2645
Mailing address
46 MASCOMA ST, LEBANON, NH 03766-2629
(603) 381-2564
(602) 646-2645
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
63
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30424283
—
NH
Enumeration date
07/24/2006
Last updated
07/08/2007
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