Individual
CRYSTAL HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5411 COLISEUM BLVD, ALEXANDRIA, LA 71303-3729
(318) 484-6850
Mailing address
PO BOX 7118, ALEXANDRIA, LA 71306-0118
(318) 704-5907
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1500
LA
1041C0700X
Clinical Social Worker
Primary
11703
LA
Other
Enumeration date
11/09/2015
Last updated
04/05/2023
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