Individual
MS. BONNIE CRUSALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4308 CARLISLE BLVD NE, #210, ALBUQUERQUE, NM 87107-4856
(505) 247-1921
(505) 247-1020
Mailing address
1520 LOS ALAMOS AVE SW, ALBUQUERQUE, NM 87104-1120
(505) 243-3353
(505) 247-1020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0116661
NM
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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