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General NPI Number Information
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NPI Number | 1932807799
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Entity Type | Individual
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Provider Name | KEITH R CROCHIERE LMHC
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Gender | Male
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 02/23/2023
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Provider Practice Location Address
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Address Line | 119 CEDAR ST
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City | HYANNIS
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State | MA
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Zip | 02601-3011
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Country | US
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Telephone | 774-470-4535
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Fax | 508-743-5699
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Provider Business Mailing Address
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Address Line | 119 CEDAR ST
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City | HYANNIS
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State | MA
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Zip | 02601-3011
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Country | US
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Telephone | 508-743-5678
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 1685
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License Number State | MA
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