Micken, Crystal Joy

Micken, Crystal Joy is an individual health care provider with primary practice located at 961 Hall St , Bainbridge GA 39819-4645. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Micken, Crystal Joy can be contacted via phone (229) 726-4714.

Contact Information

Primary practice address
961 Hall St Bainbridge GA 39819-4645
Phone: (229) 726-4714
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1770059313
LBN Legal business name Micken, Crystal Joy
Credentials LPC, CRC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2018
Last updated Jun 17th, 2019 - about 6 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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