Individual
MRS. KIMBERLY JEAN CROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LISAC
Contact information
Practice address
4326 N 75TH ST, SCOTTSDALE, AZ 85251-3505
(928) 445-3743
Mailing address
PO BOX 413, PRESCOTT, AZ 86302-0413
(928) 713-3489
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15098
AZ
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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