Crystal, Rebecca Ann
Crystal, Rebecca Ann is an individual health care provider with primary practice located at 804 Pecan Grove Rd E Child And Family Guidance Center, Sherman TX 75090-1767. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Crystal, Rebecca Ann can be contacted via phone (903) 893-7768.Contact Information
Primary practice address
804 Pecan Grove Rd E Child And Family Guidance Center
Sherman TX 75090-1767
Phone: (903) 893-7768
Fax: (903) 893-4979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 50120 | Texas |
Profile Details
| NPI number | 1972643740 |
|---|---|
| LBN Legal business name | Crystal, Rebecca Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jul 22nd, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972643740 | NPPES |
| Texas | MEDICAID | 184946501 |
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