Witcher, Lacreshia Casaundra
Witcher, Lacreshia Casaundra is an individual health care provider with primary practice located at 2802 N 37Th Ave , Phoenix AZ 85009-1338. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Witcher, Lacreshia Casaundra can be contacted via phone (602) 828-5725.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | OTC8341 | Arizona |
Profile Details
| NPI number | 1346750791 |
|---|---|
| LBN Legal business name | Witcher, Lacreshia Casaundra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2017 |
| Last updated | Jun 11th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346750791 | NPPES |
| Arizona | MEDICAID | 21213 |
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