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NPI Code Detail

MEDICARE: MRS. CRYSTAL ANNE MORGAN CP.61508035

MEDICARE: MRS. CRYSTAL ANNE MORGAN CP.61508035
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCP.61508035WA
2101YA0400XAddiction (Substance Use Disorder) CounselorCDP61508035WA

General Provider Information

NPI Number : 1194480012
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CRYSTAL ANNE MORGAN CP.61508035
Provider Business Mailing Address
First Line : 6700 MARTIN WAY E STE 117
Second Line :
City : OLYMPIA
State : WA
Zip : 98516-5586
Country : US
Telephone Number : 604-136-9103
Fax Number : 360-413-9026
Provider Business Practice Location Address
First Line : 3661 PACIFIC AVE. SE
Second Line :
City : OLYMPIA
State : WA
Zip : 98501-2122
Country : US
Telephone Number : 360-218-7690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2021
Last Update Date : 05/19/2026

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