Individual
MS. CRYSTAL RENEE HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2346 N CENTRAL AVE, PHOENIX, AZ 85004-1329
(602) 200-7541
Mailing address
2346 N CENTRAL AVE, PHOENIX, AZ 85004-1329
(602) 200-7541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-16225
AZ
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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