Crystal Juanita Christian

NPI 1568795417 - Counselor - 101Y00000X

NPI Details
NPI 1568795417
Gender Female
Enumeration Date 09/10/2009
Last Updated 09/10/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1275 JAMES DRIVE
SUITE A ENTERPRISE BEHAVIORAL SERVICES
ENTERPRISE AL, 36330, US
Phone (334) 393-9130
Fax
Business Location
233 TRENT RD
ENTERPRISE AL, 36330-8785, US
Phone (334) 393-1968
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State Alabama
License Number C1622A
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According to our database, Crystal Juanita Christian NPI is 1568795417, taxonomy code is 101Y00000X and license number is C1622A, license state is located at Alabama. Crystal Juanita Christian physically located at 1275 James Drive, Enterprise AL, 36330. NPI Number Crystal Juanita Christian has the Individual type.

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1568795417 NPI number is provided on an as is basis without warranty of any kind. 1568795417 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal Juanita Christian are for informational purposes only.