Individual
CRYSTA CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
3575 GABLES DRIVE, FAYETTEVILLE, NC 28311-7903
(910) 728-9718
Mailing address
3573 GABLES DR, FAYETTEVILLE, NC 28311-7634
(910) 728-9718
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17798
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/25/2019
Last updated
08/04/2022
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