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NPI Code Detail

MEDICARE: CRYSTAL KING-SADLER LPC

MEDICARE: CRYSTAL KING-SADLER LPC
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
1101YP2500XProfessional Counselor64688TX

General Provider Information

NPI Number : 1376854315
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL KING-SADLER LPC
Provider Business Mailing Address
First Line : 639 AMES ST
Second Line :
City : SPRING
State : TX
Zip : 77373-5620
Country : US
Telephone Number : 281-513-4638
Fax Number :
Provider Business Practice Location Address
First Line : 3737 DACOMA ST
Second Line :
City : HOUSTON
State : TX
Zip : 77092-8905
Country : US
Telephone Number : 713-970-7000
Fax Number : 713-970-7246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2010
Last Update Date : 09/12/2015

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Directions to “ CRYSTAL KING-SADLER LPC” Practice Location

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