Individual
CRYSTALIN RENNEE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHCA, SUDP
Contact information
Practice address
104 W MAIN, PUYALLUP, WA 98371-8904
(253) 686-1319
Mailing address
417 E PIONEER STE B, PUYALLUP, WA 98372-3267
(425) 390-4898
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
MC61571030
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO60776673
CHEMICAL DEPENDENCY COUNSELOR INTERN
WA
01
—
CP60940324
SUBSTANCE USE DISORDER COUNSELOR
WA
01
—
MC61571030
LMHCA
WA
Enumeration date
10/01/2018
Last updated
05/12/2025
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