NPI 1033209341

Roberta Crockett, MALMFTLCPC

Practitioner Marriage & Family Therapist Boise, ID

Practice location

Address: 1407 N 13th St, Boise, ID 83702-3531
Phone: (208) 345-1022
Fax: (208) 433-1407

Registered specialties (2)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence LMFT-1 (ID)

Other Marriage & Family Therapist providers in Idaho →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence LCPC-238 (ID)

Other Counselor providers in Idaho →

Registry record

NPI: 1033209341
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Oct 2006
Record last updated: 19 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.