Provider Demographics
NPI:1760579486
Name:KACPRZYNSKI, FLORENCE SUZANNE (MA,RN,EMDR,CLINICIAN)
Entity Type:Individual
Prefix:MS
First Name:FLORENCE
Middle Name:SUZANNE
Last Name:KACPRZYNSKI
Suffix:
Gender:F
Credentials:MA,RN,EMDR,CLINICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14720 NO. DESERT SAGE LANE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:88739
Mailing Address - Country:US
Mailing Address - Phone:520-360-2945
Mailing Address - Fax:
Practice Address - Street 1:222 E. COTTONWOOD LANE
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85222
Practice Address - Country:US
Practice Address - Phone:520-421-9910
Practice Address - Fax:520-421-0078
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10234101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ970675Medicaid
AZ10234OtherLISAC
AZRN087987OtherRN