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Crystal Maravilla
Student in an Organized Health Care Education/Training Program in Fullerton, California
NPI 1508414871

Crystal Maravilla is a Student in an Organized Health Care Education/Training Program based in Fullerton, CA. Crystal Maravilla practices in Fullerton, CA. The NPI Number for Crystal Maravilla is 1508414871 and holds a License No. 23-7110152 (California).

The current practice location address for Crystal Maravilla is 801 E Chapman Ave Ste 203, Fullerton, CA and can be reached out via phone at 714-680-9000 and via fax at 714-680-8223.

Location: 801 E Chapman Ave Ste 203, Fullerton, CA, 92836-0919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508414871
Provider Name
Crystal Maravilla
Credential
Provider Entity Type
Individual
Gender
Female
Address
801 E Chapman Ave Ste 203, Fullerton, CA, 92836-0919
Phone Number
714-680-9000
Fax Number
714-680-8223
Provider Enumeration Date
08/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
801 E Chapman Ave Ste 203
City
Fullerton
State
California
Zip
92831-3846
Phone Number
714-680-9000
Fax Number
714-680-8223
person
Provider Business Mailing Address Details
Address
801 E Chapman Ave Ste 203
City
Fullerton
State
California
Zip
92831-3846
Phone Number
714-680-9000
Fax Number
714-680-8223
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
23-7110152 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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