Individual
CRYSTAL PORTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10700 FONDREN RD APT 228, HOUSTON, TX 77096-5688
(314) 922-3577
Mailing address
10700 FONDREN RD APT 228, HOUSTON, TX 77096-5688
(314) 922-3577
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111189
TX
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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