Individual
CRYSTAL FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MONTIETH ST APT 514, BROOKLYN, NY 11206-4747
(508) 439-0611
Mailing address
10 MONTIETH ST APT 514, BROOKLYN, NY 11206-4747
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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