Individual
CRYSTAL N. BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 PARKER RD SE STE 210, CONYERS, GA 30094-6654
(470) 967-8663
(678) 218-4253
Mailing address
1007 GREEN ST SE UNIT 1823, CONYERS, GA 30012-5556
(470) 967-8663
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
013641
GA
Other
Enumeration date
06/05/2019
Last updated
01/31/2024
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