Individual
CRYSTAL ROSE MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2120 ALPINE BLVD, ALPINE, CA 91901-2113
(619) 445-2644
Mailing address
2120 ALPINE BLVD, ALPINE, CA 91901-2113
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
94027722
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/17/2021
Last updated
09/20/2023
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