Individual
CRYSTAL ANGERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
151 LAWRENCE ST FL 4, BROOKLYN, NY 11201-5240
(917) 623-6801
Mailing address
275 LINDEN BLVD APT E12, BROOKLYN, NY 11226-3518
(631) 793-8204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009400
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009400
DEPARTMENT OF THE PROFESSIONS
NY
Enumeration date
03/15/2019
Last updated
03/15/2019
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