person
Crystal Clark, PHD
Professional Counselor in Denton, Texas
NPI 1619614195

Crystal Clark is a Professional Counselor based in Denton, TX and is specialized in Professional. Crystal Clark practices in Denton, TX and has the professional credentials of PHD. The NPI Number for Crystal Clark is 1619614195 and holds a License No. 79203 (Texas).

The current practice location address for Crystal Clark is 501 S Carroll Blvd Ste 230, Denton, TX and can be reached out via phone at 940-553-0012 and via fax at 469-613-0883.

Location: 501 S Carroll Blvd Ste 230, Denton, TX, 76201-7423
person
Provider Profile Details
NPI Number
1619614195
Provider Name
Crystal Clark
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
501 S Carroll Blvd Ste 230, Denton, TX, 76201-7423
Phone Number
940-553-0012
Fax Number
469-613-0883
Provider Enumeration Date
05/17/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
79203 01 LICENSE - LPC
institution
Provider Business Practice Location Address Details
Address
501 S Carroll Blvd Ste 230
City
State
Zip
76201-7423
Phone Number
940-553-0012
Fax Number
469-613-0883
person
Provider Business Mailing Address Details
Address
501 S Carroll Blvd Ste 230
City
State
Zip
76201-7423
Phone Number
940-553-0012
Fax Number
469-613-0883
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
79203 (Texas)
Definition
Definition to come...
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