Individual provider · Type 1 NPI
Crystal Bagby, LPC
Professional Counselor · Beaumont, TX
NPI number
1396249199
Active
Practice location
2750 S 8th St
Beaumont, TX 77701-7719
Mailing address
6360 Yaupon Dr
Beaumont, TX 77708-3952
Other practice locations
- 2895 S 8th St, Beaumont, TX 77701-7722 · (409) 454-3355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 75658 (TX) |
| Mental Health Counselor | 101YM0800X | 75658 (TX) |
Professional Counselor: Definition to come...
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About NPI 1396249199
Crystal Bagby, LPC's National Provider Identifier is 1396249199, issued on Mar 19, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Beaumont, TX. The record was last updated on Oct 31, 2023.