# CRYSTALLINE COUNSELING, A MARRIAGE & FAMILY THERAPY CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crystalline Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609424829
- **Authorized official:** MS. LAUREN HENDRICK MA, LMFT (LICENSED MARRIAGE & FAMILY THERAPIS)
- **Authorized official phone:** (650) 524-5099

## Contact information

- **Practice address:** 355 GELLERT BLVD STE 280, DALY CITY, CA 94015-2619
- **Practice address phone:** (650) 524-5099
- **Mailing address:** 355 GELLERT BLVD STE 280, DALY CITY, CA 94015-2619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2019
- **Last updated:** 08/30/2019