Individual
MRS. CHRISTINE M. CLOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
13460 N 94TH DR STE K3, PEORIA, AZ 85381-4249
(623) 974-3333
(623) 974-3390
Mailing address
13460 N 94TH DR STE K3, PEORIA, AZ 85381-4249
(623) 974-3333
(623) 974-3390
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-0172
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912155367
—
AZ
Enumeration date
05/25/2017
Last updated
07/21/2022
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