Individual
CRYSTAL ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 335-3022
Mailing address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 569-4300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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