Individual
MISS CRYSTAL SHAREE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
31 W ADAMS ST APT 608, JACKSONVILLE, FL 32202-3631
(704) 277-1884
Mailing address
31 W ADAMS ST APT 608, JACKSONVILLE, FL 32202-3631
(704) 277-1884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/23/2009
Last updated
08/05/2024
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