Individual
CRYSTAL M KAPUSCINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1628 E SOUTHERN AVE STE 9820, TEMPE, AZ 85282-5782
(480) 544-5787
Mailing address
1628 E SOUTHERN AVE STE 9820, TEMPE, AZ 85282-5782
(480) 544-5787
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC19318
AZ
101YP2500X
Professional Counselor
Primary
LPC-19318
AZ
Other
Enumeration date
10/22/2020
Last updated
06/11/2024
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