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Mrs. Crystal Marie Davis, MA,LLPC
Mental Health Counselor in Wyandotte, Michigan
NPI 1902157837

Crystal Marie Davis is a Mental Health Counselor based in Wyandotte, MI and is specialized in Mental Health. Crystal Marie Davis practices in Wyandotte, MI and has the professional credentials of MA,LLPC. The NPI Number for Crystal Marie Davis is 1902157837 and holds a License No. 6401014693 (Michigan).

The current practice location address for Crystal Marie Davis is 3537 Fort St, Wyandotte, MI and can be reached out via phone at 734-818-9270.

Location: 3537 Fort St, Wyandotte, MI, 48192-6315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902157837
Provider Name
Crystal Marie Davis
Credential
MA,LLPC
Provider Entity Type
Individual
Gender
Female
Address
3537 Fort St, Wyandotte, MI, 48192-6315
Phone Number
734-818-9270
Fax Number
Provider Enumeration Date
10/02/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SA0580017 05 MI
institution
Provider Business Practice Location Address Details
Address
3537 Fort St
City
Wyandotte
State
Michigan
Zip
48192-6315
Phone Number
734-818-9270
Fax Number
person
Provider Business Mailing Address Details
Address
3537 Fort St
City
Wyandotte
State
Michigan
Zip
48192-6315
Phone Number
734-818-9270
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6401014693 (Michigan)
Definition
Definition to come...
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