Organization
CRYSTAL EATON LCMHC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL EATON LCMHC (SOLE MEMBER)
(978) 419-1781
Entity
Organization
Contact information
Practice address
76 NORTHEASTERN BLVD STE 32B, NASHUA, NH 03062-3196
(978) 419-1781
Mailing address
76 NORTHEASTERN BLVD STE 32B, NASHUA, NH 03062-3196
(978) 419-1781
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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