Individual
DIANE CRUTCHFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5138 N JULIANO RD, LAS VEGAS, NV 89149-4110
(702) 940-7896
Mailing address
2713 ORCHID VALLEY DR, LAS VEGAS, NV 89134-7327
(702) 689-5744
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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