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NPI Code Detail

MEDICARE: ALLISON NICOLE CROOKS LMFT

MEDICARE: ALLISON NICOLE CROOKS LMFT
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
1106H00000XMarriage & Family Therapist95633CA

General Provider Information

NPI Number : 1386250942
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON NICOLE CROOKS LMFT
Provider Business Mailing Address
First Line : 2444 WILSHIRE BLVD STE 607
Second Line :
City : SANTA MONICA
State : CA
Zip : 90403-5814
Country : US
Telephone Number : 424-272-1557
Fax Number :
Provider Business Practice Location Address
First Line : 2444 WILSHIRE BLVD STE 607
Second Line :
City : SANTA MONICA
State : CA
Zip : 90403-5814
Country : US
Telephone Number : 424-272-1557
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2020
Last Update Date : 09/18/2020

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Directions to “ ALLISON NICOLE CROOKS LMFT” Practice Location

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