Brown, Crystal Rane
Brown, Crystal Rane is an individual health care provider with primary practice located at 382 W Stanley Ave , Queen Creek AZ 85140-6669. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Brown, Crystal Rane can be contacted via phone (503) 798-5509.Contact Information
Primary practice address
382 W Stanley Ave
Queen Creek AZ 85140-6669
Phone: (503) 798-5509
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Peer Specialist | 175T00000X | Arizona | |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Arizona | |
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Arizona |
Profile Details
NPI number | 1447984810 |
---|---|
LBN Legal business name | Brown, Crystal Rane |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 12th, 2022 |
Last updated | Jul 19th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447984810 | NPPES |
Arizona | Other | 1356052815 | ORGANIZATION LUCA NPI |
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