Individual
CRYSTAL SOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
81 BRIDGE ST, LOWELL, MA 01852-1270
(978) 459-2306
Mailing address
81 BRIDGE ST, LOWELL, MA 01852-1270
(978) 459-2306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMHC10001617
MA
Other
Enumeration date
06/16/2020
Last updated
06/07/2024
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