Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Crockett, MA, AMFT

Individual provider Marriage & Family Therapist · NPI 1407601206

Charles Crockett, MA, AMFT is a Marriage & Family Therapist in Lafayette, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

978 2nd St Ste 200
Lafayette, CA 94549-4545
Phone: (925) 240-3620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 142087 (CA)

Record details

NPI number1407601206
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , AMFT
Sole proprietorNo
NPI enumeratedApril 23, 2024
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024

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