Individual
DYANTHLYN CRUTCHFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 SAINT ANDREWS CIR, SHREVEPORT, LA 71129-4415
(318) 469-4760
Mailing address
5900 SAINT ANDREWS CIR, SHREVEPORT, LA 71129-4415
(318) 469-4760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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