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
Phone: (490) 524-0990
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801006895 | NPPES |
| California | Other | MFC 48703 | BOARD OF BEHAVIORAL SCIENCES |
| California | Other | 15378 | BOARD OF BEHAVIORAL SCIENCES |
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