Individual
CRYSTAL MCINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 HIGHLAND AVE, FAYETTEVILLE, NC 28305-5306
(910) 484-0176
Mailing address
826 NIGHTHAWK PL, FAYETTEVILLE, NC 28314-5653
(910) 280-5304
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
A20259
NC
Other
Enumeration date
08/08/2024
Last updated
08/20/2025
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