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Crystal N. Broughton
Professional Counselor in Conyers, Georgia
NPI 1013575877

Crystal N. Broughton is a Professional Counselor based in Conyers, GA and is specialized in Professional. Crystal N. Broughton practices in Conyers, GA. The NPI Number for Crystal N. Broughton is 1013575877 and holds a License No. (Georgia).

The current practice location address for Crystal N. Broughton is 1775 Parker Rd Se Ste 210, Conyers, GA and can be reached out via phone at 470-967-8663 and via fax at 678-218-4253.

Location: 1775 Parker Rd Se Ste 210, Conyers, GA, 30012-5556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013575877
Provider Name
Crystal N. Broughton
Credential
Provider Entity Type
Individual
Gender
Female
Address
1775 Parker Rd Se Ste 210, Conyers, GA, 30012-5556
Phone Number
470-967-8663
Fax Number
678-218-4253
Provider Enumeration Date
06/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1775 Parker Rd Se Ste 210
City
Conyers
State
Georgia
Zip
30094-6654
Phone Number
470-967-8663
Fax Number
678-218-4253
person
Provider Business Mailing Address Details
Address
1775 Parker Rd Se Ste 210
City
Conyers
State
Georgia
Zip
30094-6654
Phone Number
470-967-8663
Fax Number
678-218-4253
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
013641 (Georgia)
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's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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