Organization
CRYSTAL COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE MACK (CEO)
(210) 802-4695
Entity
Organization
Contact information
Practice address
116 GALLERY CIR, SUITE 201, SAN ANTONIO, TX 78258-3340
(210) 802-4695
(210) 802-4698
Mailing address
116 GALLERY CIR, SUITE 201, SAN ANTONIO, TX 78258-3340
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
56572
TX
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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