Most Relevant Information
Provider Data
NPI Number: | 1003426560 |
Provider Name: | CRYSTAL AMADOR LPC |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | 78751 |
Most Important Dates
Enumeration Date: | 08/08/2020 |
Last Updated: | 08/08/2020 |
Provider Practice Location
1452 HUGHES RD STE 200
GRAPEVINE
TX
760519221
Practice Location Phone/Fax
Phone: | 6823251535 |
Fax: | 8175854067 |
Provider Mailing Location
3966 OCEANSIDE DR
EULESS
TX
760403445
Provider Mailing Phone/Fax
Phone: | 8175834286 |
Fax: | 8175854067 |