MEDICARE: CRYSTAL CROWLEY LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1093113581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL CROWLEY LMFT

Provider Business Mailing Address
First Line	:	3480 BUSKIRK AVE STE 210
Second Line	:
City	:	PLEASANT HILL
State	:	CA
Zip	:	94523-4304
Country	:	US
Telephone Number	:	925-933-2627
Fax Number	:

Provider Business Practice Location Address
First Line	:	614 GRAND AVE STE 203
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94610-3554
Country	:	US
Telephone Number	:	510-972-8316
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2014
Last Update Date	:	02/15/2023

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Directions to “ CRYSTAL CROWLEY LMFT” Practice Location

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