Organization
CRYSTAL CLARITY COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SIRIANO LCMHC (OWNER/COUNSELOR)
(910) 333-1031
Entity
Organization
Contact information
Practice address
237 NEW RIVER DR STE 3, JACKSONVILLE, NC 28540-5935
(910) 333-1031
(910) 333-1108
Mailing address
PO BOX 7, JACKSONVILLE, NC 28541-0007
(910) 333-1031
(910) 333-1108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114277027
BLUE CROSS BLUE SHIELD
NC
01
—
11142777027
AETNA
NC
Enumeration date
02/19/2021
Last updated
08/24/2024
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