Crystal Evon Daniels, LPCA
Counselor, Professional in Mount Olive, NC. Individual provider (NPI-1).
NPI number1801239751
StatusActive
Last updated in NPPESJan 22, 2019
Details
- NPI
- 1801239751
- Entity type
- Individual (NPI-1)
- Name
- Ms. Crystal Evon Daniels
- Credential
- LPCA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2013
- Last updated
- Jan 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 9027 | NC | Yes |
Practice location
110 Sw Center StMount Olive, NC 28365-2124
Phone 919-635-3344 · Fax 919-635-3388
Mailing address
1208 Judy PlGoldsboro, NC 27530-6678
Phone 919-581-9939
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