Crystal Faye Clopton
Peer Specialist in Long Beach, CA. Individual provider (NPI-1).
NPI number1821575457
StatusActive
Last updated in NPPESMar 29, 2023
Details
- NPI
- 1821575457
- Entity type
- Individual (NPI-1)
- Name
- Crystal Faye Clopton
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2018
- Certification date
- Mar 29, 2023
- Last updated
- Mar 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | MPSS-TSBYGR | CA | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | R64621214 | CA |
Practice location
2101 Magnolia AveLong Beach, CA 90806-4521
Phone 562-218-1868 · Fax 562-591-0346
Mailing address
2101 Magnolia AveLong Beach, CA 90806-4521
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