Individual
MRS. CRYSTAL LYNN BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.
Contact information
Practice address
1976 E HIGH ST, SUITE 203, POTTSTOWN, PA 19464-3277
(610) 326-1610
(610) 326-3104
Mailing address
416 SILVER LEAF CIR, COLLEGEVILLE, PA 19426-1971
(610) 489-6545
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC004294
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2785696000
IBC MHS PROVIDER NUMBER
PA
Enumeration date
01/18/2007
Last updated
07/08/2007
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