Individual
CRYSTAL MC BRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 RIDGELAKE DR. SUITE 309, METAIRIE, LA 70002
(504) 309-0259
Mailing address
3100 RIDGELAKE DR STE 309, METAIRIE, LA 70002-4938
(504) 309-0259
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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