Individual
CRYSTAL NIKIA BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
8376 SIX FORKS RD STE 104, RALEIGH, NC 27615-5095
(919) 900-7438
Mailing address
8376 SIX FORKS RD STE 104, RALEIGH, NC 27615-5095
(919) 900-7438
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A10494
NC
101YS0200X
School Counselor
1167989
NC
Other
Enumeration date
11/15/2016
Last updated
07/19/2022
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