Individual
CR MACCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
500 N. 3RD STREET MAIL CODE 3320, DOCTOR OF BEHAVIORAL HEALTH, ARIZONA STATE UNIVERSITY, PHOENIX, AZ 85004-2135
(602) 496-1355
(602) 496-1597
Mailing address
500 N. 3RD STREET MAIL CODE 3320, DOCTOR OF BEHAVIORAL HEALTH, ARIZONA STATE UNIVERSITY, PHOENIX, AZ 85004-2135
(602) 496-1355
(602) 496-1597
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCMFT 359
KS
Other
Enumeration date
02/03/2007
Last updated
10/19/2012
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