Crockett, Shirley

Crockett, Shirley is an individual health care provider with primary practice located at 370 9Th St , Crescent City CA 95531-3432. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Crockett, Shirley can be contacted via phone (707) 464-4349.

Contact Information

Primary practice address
370 9Th St Crescent City CA 95531-3432
Phone: (707) 464-4349
Fax: (707) 464-4572
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1528397973
LBN Legal business name Crockett, Shirley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2009
Last updated Dec 14th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers