MEDICARE: CRYSTAL L PAREDES M.S., 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
1	101YP2500X	Professional Counselor	LPC-1343	WY

General Provider Information

NPI Number	:	1689940124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL L PAREDES M.S., LPC

Provider Business Mailing Address
First Line	:	1430 WILKINS CIRCLE
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82601-1336
Country	:	US
Telephone Number	:	307-237-9583
Fax Number	:	307-265-7277

Provider Business Practice Location Address
First Line	:	1430 WILKINS CIRCLE
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82601-1336
Country	:	US
Telephone Number	:	307-237-9583
Fax Number	:	307-265-7277

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

Provider Enumeration Date	:	03/29/2012
Last Update Date	:	05/05/2026

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