Individual
CRYSTAL D OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
140 HIGH ST, SUITE 230, SPRINGFIELD, MA 01199-1006
(413) 495-1500
(413) 747-1811
Mailing address
140 HIGH ST, SUITE 230, SPRINGFIELD, MA 01199-1006
(413) 495-1500
(413) 747-1811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1022610
BEACON
MA
01
—
1134107113
MPHP
MA
01
—
8443
BMC
MA
01
—
997303
NETWORK
MA
Enumeration date
12/16/2011
Last updated
11/04/2016
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