Individual
MRS. CRYSTALIZ GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1235 PINE ST, PHILADELPHIA, PA 19107-5945
(215) 735-9379
(215) 732-8199
Mailing address
1235 PINE ST, PHILADELPHIA, PA 19107-5945
(215) 735-9379
(215) 732-8199
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/17/2010
Last updated
04/08/2014
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