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NPI Code Detail

MEDICARE: CRISTINA M.G. MORUE MC, LPC, NCC

MEDICARE: CRISTINA M.G. MORUE MC, LPC, NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLPC-13971AZ

General Provider Information

NPI Number : 1558676395
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTINA M.G. MORUE MC, LPC, NCC
Provider Business Mailing Address
First Line : 44047 N 43RD AVE UNIT 74795
Second Line :
City : PHOENIX
State : AZ
Zip : 85087-6042
Country : US
Telephone Number : 602-751-0528
Fax Number :
Provider Business Practice Location Address
First Line : 34975 N NORTH VALLEY PKWY STE 152
Second Line :
City : PHOENIX
State : AZ
Zip : 85086-4032
Country : US
Telephone Number : 602-751-0528
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2010
Last Update Date : 04/18/2016

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