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NPI Code Detail

MEDICARE: CRYSTAL JAMES

MEDICARE: CRYSTAL JAMES
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
1175T00000XPeer Specialist001250OH
2101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.176605OH

General Provider Information

NPI Number : 1316590763
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL JAMES
Provider Business Mailing Address
First Line : 1119 CUMBERLAND DR
Second Line :
City : AKRON
State : OH
Zip : 44306-3815
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1601 S MAIN ST
Second Line :
City : AKRON
State : OH
Zip : 44301-1664
Country : US
Telephone Number : 330-535-8116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2019
Last Update Date : 02/21/2024

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Directions to “ CRYSTAL JAMES ” Practice Location

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