person
Crystal L Martin
Mental Health Counselor in Tupelo, Mississippi
NPI 1497268288

Crystal L Martin is a Mental Health Counselor based in Tupelo, MS and is specialized in Mental Health. Crystal L Martin practices in Tupelo, MS. The NPI Number for Crystal L Martin is 1497268288 and holds a License No. (Mississippi).

The current practice location address for Crystal L Martin is 2434 S Eason Blvd, Tupelo, MS and can be reached out via phone at 662-640-4595 and via fax at 662-680-6416.

Location: 2434 S Eason Blvd, Tupelo, MS, 38804-6942
person
Provider Profile Details
NPI Number
1497268288
Provider Name
Crystal L Martin
Credential
Provider Entity Type
Individual
Gender
Female
Address
2434 S Eason Blvd, Tupelo, MS, 38804-6942
Phone Number
662-640-4595
Fax Number
662-680-6416
Provider Enumeration Date
11/15/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018203 05 MS
institution
Provider Business Practice Location Address Details
Address
2434 S Eason Blvd
City
State
Zip
38804-6942
Phone Number
662-640-4595
Fax Number
662-680-6416
person
Provider Business Mailing Address Details
Address
2434 S Eason Blvd
City
State
Zip
38804-6942
Phone Number
662-640-4595
Fax Number
662-680-6416
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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