Stuckwisch, Kristi Lucille
Stuckwisch, Kristi Lucille is an individual health care provider with primary practice located at 483 W. Seed Farm Rd. , Sacaton AZ 85147-0038. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Stuckwisch, Kristi Lucille can be contacted via phone (602) 528-1200.Contact Information
Primary practice address
483 W. Seed Farm Rd.
Sacaton AZ 85147-0038
Phone: (602) 528-1200
Fax: (602) 528-1255
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC-10333 | Arizona |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-11452 | Arizona |
Profile Details
NPI number | 1396152344 |
---|---|
LBN Legal business name | Stuckwisch, Kristi Lucille |
Credentials | LCSW, LISAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 22nd, 2014 |
Last updated | Dec 30th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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