Individual
CRYSTAL ANN CORREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
34 GIFFORD ST, NEW BEDFORD, MA 02744-2610
(508) 916-7493
Mailing address
34 GIFFORD ST, NEW BEDFORD, MA 02744-2610
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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