Individual provider · Type 1 NPI

Crystal Tejada

Mental Health Counselor · Providence, RI

NPI number 1396583696 Active

Practice location

345 Blackstone Blvd Ste 2
Providence, RI 02906-4829

Mailing address

3 Pleasant St Apt 7
Providence, RI 02906-1751

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMHC00038-A (RI)

Mental Health Counselor: Definition to come...

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About NPI 1396583696

Crystal Tejada's National Provider Identifier is 1396583696, issued on Jul 19, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Providence, RI. The record was last updated on Jul 19, 2024.