Individual
CRYSTAL RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, ADVANCED CASAC
Contact information
Practice address
80 STATE HIGHWAY 310, CANTON, NY 13617-1436
(315) 386-2189
Mailing address
80 STATE HIGHWAY 310, CANTON, NY 13617-1436
(315) 386-2189
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
35947
NY
101YM0800X
Mental Health Counselor
Primary
114404-01
NY
Other
Enumeration date
10/08/2019
Last updated
11/02/2023
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