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Individual

CRYSTAL LYNN HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 884-4476
Mailing address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710102890
VA
1041C0700X
Clinical Social Worker
Primary
0904010057
VA

Other

Enumeration date
08/18/2017
Last updated
10/10/2024
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