MEDICARE: CRYSTAL NARULA

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	101YP2500X	Professional Counselor	CI5445	NV

General Provider Information

NPI Number	:	1346861275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL NARULA

Provider Business Mailing Address
First Line	:	17239 SHAVANO RNCH APT 1305
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257-1321
Country	:	US
Telephone Number	:	702-635-6085
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 E WARM SPRINGS RD STE 1
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4282
Country	:	US
Telephone Number	:	702-602-5250
Fax Number	:

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

Provider Enumeration Date	:	05/01/2020
Last Update Date	:	12/18/2025

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Directions to “ CRYSTAL NARULA ” Practice Location

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