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Individual

DR. JENNIFER PAGE CRYSTAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., LPC

Contact information

Practice address
1231 GAMBELL ST STE 300, ANCHORAGE, AK 99501-4664
(907) 333-4343
(907) 333-4843
Mailing address
5317 CAMBOURNE PL, WEST BLOOMFIELD, MI 48322-4102
(248) 331-6003

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
229925
AK
101YM0800X
Mental Health Counselor
Primary
6401005542
MI

Other

Enumeration date
02/03/2017
Last updated
12/09/2024
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