Individual
CRYSTAL BARNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW, CPRM
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518359611
—
MI
Enumeration date
02/26/2015
Last updated
07/29/2020
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