Individual
CRYSTAL CLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT, PMH-C
Contact information
Practice address
14665 GALAXIE AVE STE 140, APPLE VALLEY, MN 55124-4509
(651) 456-8494
Mailing address
14665 GALAXIE AVE STE 140, APPLE VALLEY, MN 55124-4509
(651) 456-8494
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1592
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578703559
—
MN
Enumeration date
03/03/2009
Last updated
04/22/2026
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