Doctor Name: | CRYSTAL JUANITA CHRISTIAN |
NPI Number: | 1568795417 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | C1622A |
Business Practice Address: | 1275 James Drive Suite A Enterprise Behavioral Services Enterprise, AL - 36330 |
Business Phone Number: | 3343939130 |
Business Fax Number: | |
Mailing Address: | 233 Trent Rd, ENTERPRISE |
State: | AL |
Postal Code: | 363308785 |
Phone Number: | 3343931968 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2009 |
NPI Last Update Date: | 09/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | C1622A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |