Provider Demographics
NPI:1760068076
Name:CUCOANES, CRISTINA-OANA
Entity Type:Individual
Prefix:
First Name:CRISTINA-OANA
Middle Name:
Last Name:CUCOANES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2575 COUNTY ROAD 220 STE 102
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068-6542
Mailing Address - Country:US
Mailing Address - Phone:904-614-0152
Mailing Address - Fax:904-579-4336
Practice Address - Street 1:2575 COUNTY ROAD 220 STE 102
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-6542
Practice Address - Country:US
Practice Address - Phone:904-614-0152
Practice Address - Fax:904-579-4336
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
FL106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist