Individual
CRYSTAL M BERTHIAUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5002 SW LEE BLVD, LAWTON, OK 73505-8320
(580) 531-4512
(580) 531-4519
Mailing address
5002 SW LEE BLVD, LAWTON, OK 73505-8320
(580) 531-4512
(580) 531-4519
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1402
OK
Other
Enumeration date
02/19/2021
Last updated
02/22/2021
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