Organization
CRYSTAL SHARP COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL SHARP (OWNER)
(402) 616-9876
Entity
Organization
Contact information
Practice address
706 W 2ND ST, RED OAK, IA 51566-1462
(402) 616-9876
Mailing address
2412 S 11TH ST, COUNCIL BLUFFS, IA 51501-7407
(402) 616-9876
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001492
IA
Other
Enumeration date
02/25/2017
Last updated
02/25/2017
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