Individual
CRYSTAL SHAY KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
400 MANN ST STE 115, CORPUS CHRISTI, TX 78401-2046
(361) 206-1402
Mailing address
2608 JOHN ST, CORPUS CHRISTI, TX 78407-2306
(361) 206-1402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
74671
TX
Other
Enumeration date
03/24/2020
Last updated
10/10/2022
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