Doctor Name: | CRYSTAL LEA CORBIN |
NPI Number: | 1063687036 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC #3452 |
License Number: | #3452 |
Business Practice Address: | 2285 Benton Rd Suite D-201, Office 1 Bossier City, LA - 711117933 |
Business Phone Number: | 3187474070 |
Business Fax Number: | 3187424162 |
Mailing Address: | Po Box 1496, BENTON |
State: | LA |
Postal Code: | 710061496 |
Phone Number: | 3187474070 |
Fax Number: | 3187424162 |
NPI Enumeration Date: | 04/29/2008 |
NPI Last Update Date: | 04/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | #3452 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |