Individual
CRYSTAL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
2220 AUSTIN AVE, WACO, TX 76701-1625
(254) 752-3451
Mailing address
PO BOX 890, WACO, TX 76703-0890
(254) 752-3451
(254) 756-3133
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13288
TX
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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