MEDICARE: KRYSTAL MARIE GARCIA

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	101YM0800X	Mental Health Counselor		TX

General Provider Information

NPI Number	:	1568315232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRYSTAL MARIE GARCIA

Provider Business Mailing Address
First Line	:	436 MCPHEE RD SW
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-5014
Country	:	US
Telephone Number	:	512-599-3865
Fax Number	:

Provider Business Practice Location Address
First Line	:	436 MCPHEE RD SW
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-5014
Country	:	US
Telephone Number	:	512-599-3865
Fax Number	:

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

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	02/20/2026

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