Individual
CRYSTAL RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
4415 MONROE RD, CHARLOTTE, NC 28205-7754
(704) 332-3634
Mailing address
1632 STONEY CREEK LN, CHARLOTTE, NC 28262-3180
(704) 807-7229
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A11520
NC
Other
Enumeration date
05/14/2016
Last updated
08/22/2022
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