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General NPI Number Information
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NPI Number | 1134079106
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Entity Type | Organization
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Legal Business Name | CRYSTAL WATERS COUNSELING CENTERS
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 9861 BROKEN LAND PKWY STE 100
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City | COLUMBIA
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State | MD
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Zip | 21046-3031
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Country | US
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Telephone | 410-925-3202
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Fax | 410-925-3202
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Provider Business Mailing Address
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Address Line | 9861 BROKEN LAND PKWY STE 100
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City | COLUMBIA
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State | MD
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Zip | 21046-3031
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Country | US
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Telephone | 410-925-3202
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Fax | 410-925-3202
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Authorized Official
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Title or Position | THERAPIST AND OWNER
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Name | MRS. DIANE ELIZABETH DARLING
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Credential | LCPC-S
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Telephone | 410-925-3202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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