Individual
CRYSTAL MAZAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7972 MAPLE AVE SE, SNOQUALMIE, WA 98065
(425) 292-0743
Mailing address
7972 MAPLE AVE SE, SNOQUALMIE, WA 98065
(425) 292-0743
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CG60854932
—
WA
Enumeration date
12/16/2018
Last updated
02/19/2019
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