Individual
MRS. CRYSTAL NICHOLE HARREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
207 W A ST UNIT 1671, RAINIER, OR 97048-0860
(503) 935-7770
(503) 597-8968
Mailing address
207 W A ST UNIT 1671, RAINIER, OR 97048-0860
(503) 935-7770
(503) 597-8968
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1669818522
OR
1041C0700X
Clinical Social Worker
Primary
L10511
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195164
—
OR
Enumeration date
05/20/2013
Last updated
08/30/2023
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