| Doctor Name: | BELVA CROCKER |
| NPI Number: | 1467509638 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C., PHD |
| License Number: | 482 |
| Business Practice Address: | 3375 Foothill Rd Unit 531 Carpinteria, CA - 930133004 |
| Business Phone Number: | 6016688246 |
| Business Fax Number: | |
| Mailing Address: | 3375 Foothill Rd Unit 531, CARPINTERIA |
| State: | CA |
| Postal Code: | 930133004 |
| Phone Number: | 6016688246 |
| Fax Number: | |
| NPI Enumeration Date: | 01/03/2007 |
| NPI Last Update Date: | 02/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 482 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |