Individual provider · Type 1 NPI

Crystal Marie Deatherage

Addiction (Substance Use Disorder) Counselor · Escondido, CA

NPI number 1689166969 Active

Practice location

1341 N Escondido Blvd
Escondido, CA 92026-2507

Call (760) 844-7314 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1689166969

Crystal Marie Deatherage's National Provider Identifier is 1689166969, issued on Jun 3, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Escondido, CA. The record was last updated on Oct 21, 2020.