Individual
MRS. AMY BETH KRUCHKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
18001 N 79TH AVE, STE C53, GLENDALE, AZ 85308-8388
(623) 979-2525
(623) 979-2529
Mailing address
2471 W WINCHCOMB DR, PHOENIX, AZ 85023-5929
(602) 789-1477
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT0300
AZ
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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