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Crystal Garrison Np, Llc
Adolescent and Children Mental Health Clinic/Center in Vancouver, Washington
NPI 1952719825

Crystal Garrison Np, Llc is an Adolescent and Children Mental Health Clinic/Center based in Vancouver, WA and is specialized in Adolescent and Children Mental Health. Crystal Garrison Np, Llc practices in Vancouver, WA. The NPI Number for Crystal Garrison Np, Llc is 1952719825 and holds a License No. AP60355508 (Washington).

The current practice location address for Crystal Garrison Np, Llc is 304 Se Hearthwood Blvd # 871927, Vancouver, WA and can be reached out via phone at 360-907-1042.

Location: 304 Se Hearthwood Blvd # 871927, Vancouver, WA, 98684-7551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952719825
Provider Name
Crystal Garrison Np, Llc
Credential
Provider Entity Type
Organization
Address
304 Se Hearthwood Blvd # 871927, Vancouver, WA, 98684-7551
Phone Number
360-907-1042
Fax Number
Provider Enumeration Date
07/23/2014
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
304 Se Hearthwood Blvd # 871927
City
Vancouver
State
Washington
Zip
98684-7551
Phone Number
360-907-1042
Fax Number
person
Provider Business Mailing Address Details
Address
304 Se Hearthwood Blvd # 871927
City
Vancouver
State
Washington
Zip
98684-7551
Phone Number
360-907-1042
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
AP60355508 (Washington)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
AP60355508 (Washington)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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