Individual
CRYSTAL Y PORTEE-HARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 DOCTORS DR STE J, JACKSONVILLE, NC 28546-6308
(910) 333-0814
Mailing address
200 DOCTORS DR STE J, JACKSONVILLE, NC 28546-6308
(910) 333-0814
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29478
NC
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
11/02/2021
Last updated
03/30/2025
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