MEDICARE: CAROLINE CRUGER-HANSEN

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
1	101YS0200X	School Counselor

General Provider Information

NPI Number	:	1821345703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE CRUGER-HANSEN

Provider Business Mailing Address
First Line	:	7125 DONAL AVE
Second Line	:
City	:	EL CERRITO
State	:	CA
Zip	:	94530-2403
Country	:	US
Telephone Number	:	510-356-5144
Fax Number	:	510-231-5987

Provider Business Practice Location Address
First Line	:	7125 DONAL AVE
Second Line	:
City	:	EL CERRITO
State	:	CA
Zip	:	94530-2403
Country	:	US
Telephone Number	:	510-356-5144
Fax Number	:	510-231-5987

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2012
Last Update Date	:	06/02/2026

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Directions to “ CAROLINE CRUGER-HANSEN ” Practice Location

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