Individual
CRYSTAL WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, LMHC
Contact information
Practice address
315 W PONCE DE LEON AVE STE 546, DECATUR, GA 30030-2448
(478) 320-1576
Mailing address
114 BRUTON ST, DECATUR, GA 30030-3767
(478) 320-1576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9113551
NY
101YP2500X
Professional Counselor
LPC008807
GA
Other
Enumeration date
05/05/2016
Last updated
02/20/2024
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