Individual provider · Type 1 NPI

Crystal Ruby Destouche

Counselor · Jamaica, NY

NPI number 1073189833 Active

Practice location

9114 Merrick Blvd Fl 6
Jamaica, NY 11432-5363

Call (718) 674-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1073189833

Crystal Ruby Destouche's National Provider Identifier is 1073189833, issued on Jun 2, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jamaica, NY. The record was last updated on Oct 12, 2021.