De La Cruz, Crystalynn

De La Cruz, Crystalynn is an individual health care provider with primary practice located at 867 Main St Ste 5 , Manchester CT 06040-6034. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. De La Cruz, Crystalynn can be contacted via phone (860) 325-2541.

Contact Information

Primary practice address
867 Main St Ste 5 Manchester CT 06040-6034
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 098293052 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 009966 Connecticut

Profile Details

NPI number 1831450121
LBN Legal business name De La Cruz, Crystalynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2012
Last updated Apr 26th, 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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