Individual
CRYSTAL L. HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1805053
AR
101YP2500X
Professional Counselor
Primary
P2012114
AR
171M00000X
Case Manager/Care Coordinator
—
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/06/2015
Last updated
03/15/2021
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