person
Crystal Theresa Small
Mental Health Counselor in Upper Marlboro, Maryland
NPI 1063088706

Crystal Theresa Small is a Mental Health Counselor based in Hyattsville, MD and is specialized in Mental Health. Crystal Theresa Small practices in Upper Marlboro, MD. The NPI Number for Crystal Theresa Small is 1063088706 and holds a License No. LGP8829 (Maryland).

The current practice location address for Crystal Theresa Small is 9500 Medical Center Dr, Upper Marlboro, MD and can be reached out via phone at 202-831-2865.

Location: 9500 Medical Center Dr, Upper Marlboro, MD, 20783-3456
person
Provider Profile Details
NPI Number
1063088706
Provider Name
Crystal Theresa Small
Credential
Provider Entity Type
Individual
Gender
Female
Address
9500 Medical Center Dr, Upper Marlboro, MD, 20783-3456
Phone Number
202-831-2865
Fax Number
Provider Enumeration Date
06/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9500 Medical Center Dr
City
State
Zip
20774-3701
Phone Number
202-831-2865
Fax Number
person
Provider Business Mailing Address Details
Address
9500 Medical Center Dr
City
State
Zip
20774-3701
Phone Number
202-831-2865
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LGP8829 (Maryland)
Definition
Definition to come...
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