Individual
CRYSTAL MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 WAIMANO HOME RD, PEARL CITY, HI 96782-1478
(808) 454-1411
(808) 454-0659
Mailing address
PO BOX 1196, PEARL CITY, HI 96782-8196
(808) 454-1411
(808) 454-0659
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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