Individual provider · Type 1 NPI
Crystal Joy Micken, LPC, CRC
Professional Counselor · Bainbridge, GA
NPI number
1770059313
Active
Practice location
961 Hall St
Bainbridge, GA 39819-4645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Counselor | 225C00000X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1770059313
Crystal Joy Micken, LPC, CRC's National Provider Identifier is 1770059313, issued on Oct 22, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bainbridge, GA. The record was last updated on Jun 17, 2019.