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Individual
MRS. CRYSTAL LENA CHANG
Active
Individual
MRS. CRYSTAL LENA CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
62963
TX
104100000X
Social Worker
31345
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T22Y
BCBS #
TX
05
—
111408401
—
TX
05
—
111408402
—
TX
Enumeration date
08/31/2006
Last updated
05/04/2022
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