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Individual

CHRISTA CROHURST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
4250 E FLORIAN AVE, BUILDING #1, MESA, AZ 85206-2797
(480) 844-1653
Mailing address
924 N COUNTRY CLUB DR, MESA, AZ 85201-4108
(480) 969-3800

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC15424
AZ

Other

Enumeration date
01/09/2017
Last updated
01/09/2017
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