Individual provider · Type 1 NPI

Crystal Cage

Mental Health Counselor · Vidalia, LA

NPI number 1982153821 Active

Practice location

1644 Carter St Ste 2
Vidalia, LA 71373-3143

Call (318) 414-3065 Map

Fax (318) 414-3067

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1982153821

Crystal Cage's National Provider Identifier is 1982153821, issued on Oct 3, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vidalia, LA. The record was last updated on Oct 3, 2016.