Individual provider · Type 1 NPI

Crystal N. Broughton

Professional Counselor · Conyers, GA

NPI number 1013575877 Active

Practice location

1775 Parker Rd SE Ste 210
Conyers, GA 30094-6654

Call (470) 967-8663 Map

Fax (678) 218-4253

Mailing address

1007 Green St SE Unit 1823
Conyers, GA 30012-5556

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Professional Counselor Primary 101YP2500X013641 (GA)

Professional Counselor: Definition to come...

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About NPI 1013575877

Crystal N. Broughton's National Provider Identifier is 1013575877, issued on Jun 5, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Conyers, GA. The record was last updated on Jan 31, 2024.