Organization
CRYSTAL COUNSELING PLLC
Active
Other names
Crystal Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE C MACK LPC-S (PRESIDENT)
(210) 998-5591
Entity
Organization
Contact information
Practice address
116 GALLERY CIR STE 201, SAN ANTONIO, TX 78258-3341
(210) 998-5591
(210) 579-1516
Mailing address
18756 STONE OAK PKWY, SUITE 200, SAN ANTONIO, TX 78258-4790
(210) 998-5591
(210) 579-1516
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/14/2012
Last updated
01/22/2019
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