Doctor Name: | CRYSTAL DAYE PRICE |
NPI Number: | 1013389048 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CSAC |
License Number: | CSAC-20589 |
Business Practice Address: | 1706 Wayne Memorial Dr Goldsboro, NC - 275342240 |
Business Phone Number: | 9197346676 |
Business Fax Number: | |
Mailing Address: | 1706 Wayne Memorial Dr, GOLDSBORO |
State: | NC |
Postal Code: | 275342240 |
Phone Number: | 9197346676 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2015 |
NPI Last Update Date: | 10/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CSAC-20589 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |