Healthcare Provider Details

I. General information

NPI: 1821345703
Provider Name (Legal Business Name): CAROLINE CRUGER-HANSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2012
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7125 DONAL AVE
EL CERRITO CA
94530-2403
US

IV. Provider business mailing address

7125 DONAL AVE
EL CERRITO CA
94530-2403
US

V. Phone/Fax

Practice location:
  • Phone: 510-356-5144
  • Fax: 510-231-5987
Mailing address:
  • Phone: 510-356-5144
  • Fax: 510-231-5987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: