Individual
CRYSTAL SHI YEONG JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
243 NASSAU BLVD SOUTH, GARDEN CITY, NY 11530
(862) 294-3011
Mailing address
243 NASSAU BLVD SOUTH, GARDEN CITY, NY 11530-5532
(862) 294-3011
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001724
NY
106H00000X
Marriage & Family Therapist
P103756
NY
Other
Enumeration date
11/25/2019
Last updated
03/09/2022
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