Individual
KRUTI QUAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(610) 613-7823
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(610) 613-7823
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC008245
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
PC008245
PA
101YM0800X
Mental Health Counselor
PC008245
PA
101YP2500X
Professional Counselor
Primary
PC008245
PA
Other
Enumeration date
07/29/2015
Last updated
07/25/2024
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