Most Relevant Information
Provider Data
| NPI Number: | 1003372046 |
| Provider Name: | CRYSTAL ESCALANTE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/14/2019 |
| Last Updated: | 02/14/2019 |
Provider Practice Location
604 W OCEAN AVE
LOMPOC
CA
934366630
Practice Location Phone/Fax
| Phone: | 8057360357 |
| Fax: |
Provider Mailing Location
604 W OCEAN AVE
LOMPOC
CA
934366630
Provider Mailing Phone/Fax
| Phone: | 8057360357 |
| Fax: |