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Mrs. Crystal Louise Green
Mental Health Counselor in Shelton, Washington
NPI 1114535150

Crystal Louise Green is a Mental Health Counselor based in Lakebay, WA and is specialized in Mental Health. Crystal Louise Green practices in Shelton, WA. The NPI Number for Crystal Louise Green is 1114535150 and holds a License No. (Washington).

The current practice location address for Crystal Louise Green is 307 W Cota St, Shelton, WA and can be reached out via phone at 360-839-2822 and via fax at 360-839-2822.

Location: 307 W Cota St, Shelton, WA, 98349-9280
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114535150
Provider Name
Crystal Louise Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
307 W Cota St, Shelton, WA, 98349-9280
Phone Number
360-839-2822
Fax Number
360-839-2822
Provider Enumeration Date
07/15/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100000034753 05 WA
institution
Provider Business Practice Location Address Details
Address
307 W Cota St
City
Shelton
State
Washington
Zip
98584-2265
Phone Number
360-839-2822
Fax Number
360-839-2822
person
Provider Business Mailing Address Details
Address
307 W Cota St
City
Shelton
State
Washington
Zip
98584-2265
Phone Number
360-839-2822
Fax Number
360-839-2822
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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