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NPI Code Detail

MEDICARE: CRYSTAL BIGLEY LPC PLLC

MEDICARE: CRYSTAL BIGLEY LPC PLLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1780373035
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRYSTAL BIGLEY LPC PLLC
Provider Business Mailing Address
First Line : 3206 LONGMIRE DR STE A22
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77845-5858
Country : US
Telephone Number : 979-353-0005
Fax Number : 979-201-8900
Provider Business Practice Location Address
First Line : 3206 LONGMIRE DR STE A22
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77845-5858
Country : US
Telephone Number : 979-353-0005
Fax Number : 979-201-8900
Authorized Official
Title or Position : LICENSED PROFESSIONAL COUNSELOR
Name : CRYSTAL L BIGLEY
Credential : LPC
Telephone Number : 979-353-0005
Provider Enumeration Date : 05/03/2023
Last Update Date : 05/03/2023

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