Organization
CRYSTAL CLEAR COUNSELING AND CONSULATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. CRYSTAL JOHNSON LPC (CEO)
(704) 506-9635
Entity
Organization
Contact information
Practice address
8236 DEER DR, HARRISBURG, NC 28075-9682
(704) 506-9635
Mailing address
PO BOX 237, HARRISBURG, NC 28075-0237
(704) 506-9635
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1077648
NC
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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