Individual
CRYSTAL SUARENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
5200 S MACADAM AVE STE 580, PORTLAND, OR 97239-3837
(971) 238-4789
(971) 346-4450
Mailing address
5200 S MACADAM AVE STE 580, PORTLAND, OR 97239-3837
(971) 238-4789
(971) 346-4450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699745794
—
OR
Enumeration date
04/17/2017
Last updated
01/24/2025
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