Miller, Crystal Marie

Miller, Crystal Marie is an individual health care provider with primary practice located at 8221 Teal Dr Ste 405 , Easton MD 21601-7212. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, 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. Miller, Crystal Marie can be contacted via phone (410) 219-5070.

Contact Information

Primary practice address
8221 Teal Dr Ste 405 Easton MD 21601-7212
Phone: (410) 219-5070
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 23610 Maryland

Profile Details

NPI number 1740527209
LBN Legal business name Miller, Crystal Marie
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2013
Last updated Jul 27th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740527209 NPPES
Maryland MEDICAID 609500301
Maryland MEDICAID 609500300
Maryland MEDICAID 609500303
Maryland MEDICAID 609550002

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