Individual
CRYSTAL RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
1044 11TH AVE, LONGVIEW, WA 98632-2506
(360) 575-8275
(360) 575-1950
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(360) 575-8275
(360) 575-1950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60132810
WA
Other
Enumeration date
05/11/2015
Last updated
08/12/2016
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