Individual
MS. CRYSTAL CERTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
109 PINEYWOODS AVE, SPRINGFIELD, MA 01108-2517
(501) 551-5408
Mailing address
109 PINEYWOODS AVE, SPRINGFIELD, MA 01108-2517
(501) 551-5408
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2408006
AR
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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