Therapy Hut | |
2876 Solarro Dr Sierra Vista AZ 85635-6922 | |
(520) 678-1115 | |
Not Available |
Full Name | Therapy Hut |
---|---|
Speciality | Marriage & Family Therapist |
Location | 2876 Solarro Dr, Sierra Vista, Arizona |
Authorized Official Name and Position | Dwayne Allen Kruse (OWNER/DIRECTOR) |
Authorized Official Contact | 5206781115 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Therapy Hut 2876 Solarro Dr Sierra Vista AZ 85635-6922 Ph: (520) 678-1115 | Therapy Hut 2876 Solarro Dr Sierra Vista AZ 85635-6922 Ph: (520) 678-1115 |
NPI Number | 1801100961 |
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Provider Enumeration Date | 07/31/2010 |
Last Update Date | 07/31/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801100961 | NPI | - | NPPES |
43535 | Other | CA | CALIFORNIA MARRIAGE AND FAMIYL THERAPIST |
LMFT10273 | Other | AZ | ARIZONA MARRIAGE AND FAMILY THERAPIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 454007 (Arizona) | Secondary |
106H00000X | Marriage & Family Therapist | LMFT 10273 (Arizona) | Primary |
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