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General NPI Number Information
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NPI Number | 1871450254
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Entity Type | Individual
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Provider Name | CRYSTAL BARTON WATTS LCMHCA
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Gender | Female
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 102 OAKMONT DR
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City | GREENVILLE
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State | NC
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Zip | 27858-5769
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Country | US
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Telephone | 252-364-8972
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Fax |
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Provider Business Mailing Address
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Address Line | 2821 RUSTON CT
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City | GRIMESLAND
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State | NC
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Zip | 27837-9172
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Country | US
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Telephone | 252-945-4307
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | A22406
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License Number State | NC
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