Individual
CRYSTAL LEA CORBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC #3452
Contact information
Practice address
2285 BENTON RD, SUITE D-201, OFFICE 1, BOSSIER CITY, LA 71111-7933
(318) 747-4070
(318) 742-4162
Mailing address
PO BOX 1496, BENTON, LA 71006-1496
(318) 747-4070
(318) 742-4162
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
#3452
LA
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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