Individual
MS. CRYSTAL MICHELE SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, LMHC
Contact information
Practice address
706 W 2ND STREET, RED OAK, IA 51566-1462
(402) 616-9876
(712) 355-5120
Mailing address
2412 S 11TH ST, COUNCIL BLUFFS, IA 51501-7407
(402) 616-9876
(712) 355-5120
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001492
IA
101YM0800X
Mental Health Counselor
9333
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47082303526
—
NE
Enumeration date
03/23/2011
Last updated
08/29/2019
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