Individual
MS. KRISTI LUCILLE STUCKWISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LISAC
Contact information
Practice address
483 W. SEED FARM RD., SACATON, AZ 85147-0038
(602) 528-1200
(602) 528-1255
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-10333
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-11452
AZ
Other
Enumeration date
07/22/2014
Last updated
12/30/2015
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