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Contact Information

KIMBERLY J CROOKS, MS LISAC
4326 N 75TH ST
SCOTTSDALE, AZ85251-3505
 Phone: 928-445-3743
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for KIMBERLY J CROOKS · (Female)

NPI # 1710472303
Status Active
Credentials MS LISAC
Entity Individual
Enumeration date 06/26/2018
Last updated 06/26/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 15098
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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