Individual
CHRYSTAL LYNN BECKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 SIMPSON AVENUE SUITE 101, ABERDEEN, WA 98520
(360) 612-0012
Mailing address
PO BOX 1847, LONGVIEW, WA 98632-8140
(360) 423-0203
(360) 577-0269
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60553693
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105699
—
WA
Enumeration date
08/29/2017
Last updated
02/11/2020
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