Chang, Crystal Lena

Chang, Crystal Lena is an individual health care provider with primary practice located at 4159 Candlewood Cir , Wichita Falls TX 76308-4451. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Chang, Crystal Lena can be contacted via phone (940) 636-4773.

Contact Information

Primary practice address
4159 Candlewood Cir Wichita Falls TX 76308-4451
Phone: (940) 636-4773
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 31345 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 62963 Texas

Profile Details

NPI number 1710099031
LBN Legal business name Chang, Crystal Lena
Credentials M.A., LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated May 4th, 2022 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710099031 NPPES
Texas Other 00T22Y BCBS #
Texas MEDICAID 111408401 BCBS #
Texas MEDICAID 111408402 BCBS #

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