Individual
CRYSTAL KROUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 ROSS PL SE, ALBUQUERQUE, NM 87108-4441
(505) 702-7880
Mailing address
1709 ROSS PL SE, ALBUQUERQUE, NM 87108-4441
(505) 702-7880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2022-0291
NM
Other
Enumeration date
07/30/2022
Last updated
07/30/2022
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