NPI 1629464326 CRYSTAL COURY GARDEN VALLEY CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Crystal Coury - NPI: 1629464326

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: CRYSTAL COURY
NPI Number: 1629464326
Entity Type Code: Individual (1)
Gender: F
Credentials:
License Number: R-1041014
Business Practice Address: 5607 Mount Murphy Roas
Garden Valley, CA - 95667
Business Phone Number: 5303339460
Business Fax Number: 5303331019
Mailing Address: 5607 Mount Murphy Roas,
GARDEN VALLEY
State: CA
Postal Code: 95667
Phone Number: 5303339460
Fax Number: 5303331019
NPI Enumeration Date: 04/09/2015
NPI Last Update Date: 04/09/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YA0400X
License Number: R-1041014
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CA
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Addiction (Substance Use Disorder)
Taxonomy Definition:


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