Individual provider · Type 1 NPI
Crystal MC Bride
Mental Health Counselor · Metairie, LA
NPI number
1316461395
Active
Practice location
3100 Ridgelake Dr. Suite 309
Metairie, LA 70002
Mailing address
3100 Ridgelake Dr Ste 309
Metairie, LA 70002-4938
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1316461395
Crystal MC Bride's National Provider Identifier is 1316461395, issued on Aug 1, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Metairie, LA. The record was last updated on Jul 21, 2022.