Dr. Jennifer Page Crystal, Ph.D., LPC
Counselor, Mental Health in Anchorage, AK. Individual provider (NPI-1).
NPI number1750829263
StatusActive
Last updated in NPPESDec 9, 2024
Details
- NPI
- 1750829263
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jennifer Page Crystal
- Credential
- Ph.D., LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 3, 2017
- Certification date
- Dec 9, 2024
- Last updated
- Dec 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 6401005542 | MI | Yes |
| 101YM0800X | Counselor, Mental Health | 229925 | AK |
Practice location
1231 Gambell St Ste 300Anchorage, AK 99501-4664
Phone 907-333-4343 · Fax 907-333-4843
Mailing address
5317 Cambourne PlWest Bloomfield, MI 48322-4102
Phone 248-331-6003
Other practice locations
320 E Canfield St Ste 315
Detroit, MI 48201-1914
Detroit, MI 48201-1914
Phone 313-577-1463 · Fax 313-577-0361
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