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Individual

CRYSTAL D COLINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW, MCAPI

Contact information

Practice address
2801 SE MARTIN SQUARE CORPORATE PKWY, STUART, FL 34994-4916
(772) 444-7911
Mailing address
1026 SW SULTAN DR, PORT SAINT LUCIE, FL 34953-2645
(864) 275-8398

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1041C0700X
Clinical Social Worker
Primary
SW15127
FL

Other

Enumeration date
04/11/2017
Last updated
05/01/2018
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