Doctor Name: | CRYSTAL HILL |
NPI Number: | 1215300587 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1500 |
Business Practice Address: | 105 Belview Rd Leesville, LA - 714462902 |
Business Phone Number: | 3372392946 |
Business Fax Number: | |
Mailing Address: | 1800 Community, CLINTON |
State: | MO |
Postal Code: | 647358804 |
Phone Number: | 6608908186 |
Fax Number: | |
NPI Enumeration Date: | 11/09/2015 |
NPI Last Update Date: | 11/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1500 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |