Individual
CRYSTAL GALE GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 FLORA DR, COLUMBIA, SC 29223-5204
(803) 542-5377
Mailing address
1012 FLORA DR, COLUMBIA, SC 29223-5204
(803) 542-5377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00000000000000000000
SC
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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