Individual
CRYSTAL GROOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 BLUFF RD, COLUMBIA, SC 29201-4810
(803) 733-5855
(803) 733-5892
Mailing address
1420 BLUFF RD, COLUMBIA, SC 29201-4810
(803) 733-5855
(803) 733-5892
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NA
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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