Individual
MRS. CRYSTAL PRESTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CAP
Contact information
Practice address
1000 N HIATUS RD STE 120, PEMBROKE PINES, FL 33026-3094
(954) 651-3565
(754) 263-5932
Mailing address
1000 N HIATUS RD STE 120, PEMBROKE PINES, FL 33026-3094
(954) 651-3565
(754) 263-5932
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ADC-009802-2015
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP.0009802
FL
104100000X
Social Worker
ISW15523
FL
104100000X
Social Worker
Primary
SW20973
FL
Other
Enumeration date
10/11/2016
Last updated
09/05/2023
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