Individual
MISS CRYSTAL MAE BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
172 LAFAYETTE ST, SALEM, MA 01970-4815
(978) 744-4033
Mailing address
31 ROOSEVELT AVE, DANVERS, MA 01923-2033
(978) 777-1187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7441
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7441
LICENSED MENTAL HEALTH COUNSELOR
MA
Enumeration date
10/29/2008
Last updated
08/25/2010
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