Individual
MRS. CRYSTAL ROXANNE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I, MATC, CAPMS
Contact information
Practice address
418 NW 6TH ST, GRANTS PASS, OR 97526-2006
(541) 474-1033
(541) 474-0770
Mailing address
418 NW 6TH ST, GRANTS PASS, OR 97526-2006
(541) 474-1033
(541) 474-0770
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12-09-25
OR
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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