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Individual
CRYSTAL NOPPENBERG
Active
Individual
CRYSTAL NOPPENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
BBH-LCSW-LIC-8368
MT
1041C0700X
Clinical Social Worker
Primary
8368
MT
Other
Enumeration date
01/30/2015
Last updated
11/23/2022
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