Doctor Name: | CRYSTAL L SILVESTRE |
NPI Number: | 1033553920 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 27520 |
Business Practice Address: | 211 N Hammes Ave Joliet, IL - 604358113 |
Business Phone Number: | 8152600691 |
Business Fax Number: | |
Mailing Address: | 609 Vine St, JOLIET |
State: | IL |
Postal Code: | 604356248 |
Phone Number: | 8152600691 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2013 |
NPI Last Update Date: | 08/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 27520 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |