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NPI Code Detail

MEDICARE: KRYSTAL PRITCHETT ALC

MEDICARE: KRYSTAL PRITCHETT ALC
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1558001933
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRYSTAL PRITCHETT ALC
Provider Business Mailing Address
First Line : 166 N GAY ST
Second Line :
City : AUBURN
State : AL
Zip : 36830-4800
Country : US
Telephone Number : 334-618-0033
Fax Number : 334-329-7016
Provider Business Practice Location Address
First Line : 166 N GAY ST
Second Line :
City : AUBURN
State : AL
Zip : 36830-4800
Country : US
Telephone Number : 334-618-0033
Fax Number : 334-329-7016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2022
Last Update Date : 03/31/2022

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Directions to “ KRYSTAL PRITCHETT ALC” Practice Location

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