Individual
CRYSTAL FUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 308-4218
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 308-4218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11718
NC
101YM0800X
Mental Health Counselor
A11718
NC
Other
Enumeration date
12/01/2015
Last updated
02/22/2022
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