Individual
CRYSTAL POOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10815 BLACK BEAR RD, JUNEAU, AK 99801-8783
(907) 789-7610
Mailing address
PO BOX 32839, JUNEAU, AK 99803-2839
(907) 789-7610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
03/28/2022
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