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Individual
CRYSTAL PIKE
Active
Individual
CRYSTAL PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
97641
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
97641
TX
101YM0800X
Mental Health Counselor
97641
TX
101YP2500X
Professional Counselor
Primary
97641
TX
101YS0200X
School Counselor
97641
TX
Other
Enumeration date
02/03/2025
Last updated
08/26/2026
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