| Doctor Name: | MS. CRYSTAL EVON DANIELS |
| NPI Number: | 1801239751 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCA |
| License Number: | A9027 |
| Business Practice Address: | 110 Sw Center St Mount Olive, NC - 283652124 |
| Business Phone Number: | 9196353344 |
| Business Fax Number: | 9196353388 |
| Mailing Address: | 1208 Judy Pl, GOLDSBORO |
| State: | NC |
| Postal Code: | 275306678 |
| Phone Number: | 9195819939 |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2013 |
| NPI Last Update Date: | 04/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | A9027 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |