Provider Demographics
NPI:1295941128
Name:CROSETTI, CLAIRE MARIE (MA, MFT)
Entity type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:MARIE
Last Name:CROSETTI
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2245 SANTA CLARA AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-4429
Mailing Address - Country:US
Mailing Address - Phone:510-864-8040
Mailing Address - Fax:510-864-8040
Practice Address - Street 1:2245 SANTA CLARA AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-4429
Practice Address - Country:US
Practice Address - Phone:510-864-8040
Practice Address - Fax:510-864-8040
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT36126106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist