Cruckson, Cari S

Cruckson, Cari S is an individual health care provider with primary practice located at 1600 W Chandler Blvd Ste 110 , Chandler AZ 85224-6100. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Cruckson, Cari S can be contacted via phone (490) 524-0990.

Contact Information

Primary practice address
1600 W Chandler Blvd Ste 110 Chandler AZ 85224-6100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 48703 California

Profile Details

NPI number 1801006895
LBN Legal business name Cruckson, Cari S
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Jul 21st, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801006895 NPPES
California Other MFC 48703 BOARD OF BEHAVIORAL SCIENCES
California Other 15378 BOARD OF BEHAVIORAL SCIENCES

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