Individual
CHRYSTAL MAY MINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC-II, LCDP
Contact information
Practice address
162 MILLER AVE, PROVIDENCE, RI 02905-1400
(619) 840-5449
Mailing address
162 MILLER AVE, PROVIDENCE, RI 02905-1400
(619) 840-5449
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/04/2013
Last updated
04/28/2026
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