Individual
CRYSTAL R CHAFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, ATP
Contact information
Practice address
4410 DILLON LN STE 17, CORPUS CHRISTI, TX 78415-5335
(361) 808-7382
(361) 808-7367
Mailing address
4410 DILLON LN STE 17, CORPUS CHRISTI, TX 78415-5335
(361) 808-7382
(361) 808-7367
Taxonomy
Speciality
Code
Description
License number
State
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
ATP91146
—
247200000X
Other Technician
Primary
ATP91146
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ATP91146
ATP
—
Enumeration date
12/09/2021
Last updated
12/09/2021
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