Individual provider · Type 1 NPI

Crystal Reanee Kisselburgh, MA, LAC, LPCC

Addiction (Substance Use Disorder) Counselor · Grand Junction, CO

NPI number 1669071213 Active

Practice location

2956 North Ave Ste 1
Grand Junction, CO 81504-3919

Mailing address

649 Broken Spoke Rd
Grand Junction, CO 81504-6981

Other practice locations

  • 1150 N 25th St Ste D, Grand Junction, CO 81501-6561 · (970) 779-7824

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLPC.0026958 (CO)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XACD.0001546 (CO)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1669071213

Crystal Reanee Kisselburgh, MA, LAC, LPCC's National Provider Identifier is 1669071213, issued on Oct 23, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grand Junction, CO. The record was last updated on Apr 20, 2022.