Individual
CRYSTAL MARIE SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Contact information
Practice address
87 E MAIDEN ST STE 32, WASHINGTON, PA 15301-4964
(724) 470-9910
(724) 206-9136
Mailing address
87 E MAIDEN ST STE 32, WASHINGTON, PA 15301-4964
(724) 470-9910
(724) 206-9136
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC009032
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
PC009032
PA
101YM0800X
Mental Health Counselor
PC009032
PA
101YP2500X
Professional Counselor
Primary
PC009032
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103089522-0001
MEDICARE
PA
Enumeration date
06/01/2016
Last updated
03/20/2020
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