Individual
CRYSTAL LEVRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5014 S MULLEN ST, TACOMA, WA 98409-1914
(253) 905-3246
Mailing address
5014 S MULLEN ST, TACOMA, WA 98409-1914
(253) 905-3246
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
MC61659387
WA
Other
Enumeration date
09/14/2022
Last updated
04/29/2025
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