Individual
MRS. CARI S CRUCKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2266 S DOBSON RD STE 200, MESA, AZ 85202-6412
(480) 769-9290
Mailing address
2266 S DOBSON RD SUITE 200, MESA, AZ 85202-6412
(480) 769-9290
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
15378
AZ
106H00000X
Marriage & Family Therapist
MFC 48703
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15378
BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
01
—
MFC 48703
BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
05/22/2007
Last updated
08/15/2024
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