Jefferson, Crystal Anita

Jefferson, Crystal Anita is an individual health care provider with primary practice located at 3500 N State Road 7 Suite 211-212, Lauderdale Lakes FL 33319-5600. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jefferson, Crystal Anita can be contacted via phone (954) 578-8399.

Contact Information

Primary practice address
3500 N State Road 7 Suite 211-212 Lauderdale Lakes FL 33319-5600
Phone: (954) 578-8399
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1841514015
LBN Legal business name Jefferson, Crystal Anita
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2010
Last updated Mar 17th, 2010 - about 14 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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