Individual
AXEL RENE CRISTALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
303 S HIGHWAY 78 STE 100, WYLIE, TX 75098-3957
(469) 342-3468
Mailing address
316 DAYLILY DR, WYLIE, TX 75098-4629
(214) 317-2396
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
80942
TX
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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