Individual
CARL CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A
Contact information
Practice address
882 OAKMAN BLVD STE D, DETROIT, MI 48238-4019
(313) 961-7990
(313) 883-6261
Mailing address
882 OAKMAN BLVD STE D, DETROIT, MI 48238-4019
(313) 961-7990
(313) 883-6261
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MA
MI
Other
Enumeration date
03/26/2007
Last updated
09/25/2023
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