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Organization

CHRYSTAL FULLEN MS LPC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRYSTAL FULLEN LPC (SOLE MEMBER)
(210) 410-3710
Entity
Organization

Contact information

Practice address
4242 WOODCOCK DR STE 201, SAN ANTONIO, TX 78228-1325
(210) 481-8673
(210) 314-2480
Mailing address
4242 WOODCOCK DR STE 201, SAN ANTONIO, TX 78228-1325
(210) 481-8673
(210) 314-2480

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
71964
TX

Other

Enumeration date
02/08/2018
Last updated
02/08/2018
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