Individual
CRYSTAL DEVON MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1867 AIRPORT WAY, SUITE 200, FAIRBANKS, AK 99701-4054
(907) 590-2100
Mailing address
1867 AIRPORT WAY, SUITE 200, FAIRBANKS, AK 99701-4054
(907) 750-7169
(907) 490-4469
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1053
AK
Other
Enumeration date
11/26/2012
Last updated
03/23/2017
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