Irish, Crystal
Irish, Crystal is an individual health care provider with primary practice located at 39 Fogg Farm Rd , White River Jct VT 05088-0508. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Irish, Crystal can be contacted via phone (802) 295-1311.Contact Information
Primary practice address
39 Fogg Farm Rd
White River Jct VT 05088-0508
Phone: (802) 295-1311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 151.0134105 | Vermont |
Profile Details
| NPI number | 1972193266 |
|---|---|
| LBN Legal business name | Irish, Crystal |
| Credentials | LADAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 21st, 2021 |
| Last updated | Jan 21st, 2021 - about 4 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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