Individual
MRS. CRYSTAL LYNN DALEBROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT CSAC
Contact information
Practice address
7818 BIG SKY DR STE 101, MADISON, WI 53719-2840
(608) 203-6267
(608) 203-6696
Mailing address
1434 BELLFLOWER LN, MADISON, WI 53719-4539
(608) 203-6267
(608) 203-6696
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15321-132
WI
101YM0800X
Mental Health Counselor
Primary
773-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002735
—
WI
Enumeration date
03/19/2007
Last updated
11/29/2010
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