CRYSTAL DOMYNIQUE MARTIN M.ED. NPI 1619332863

NPI Information

NPI: 1619332863
Provider Name: CRYSTAL DOMYNIQUE MARTIN, M.ED.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2009 N CONWAY AVE
MISSION, TX
ZIP 78572
Phone: (956) 655-8987
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Crystal Domynique Martin, M.ED. is a professional counselor in Mission, TX. Crystal Domynique Martin, M.ED. NPI is 1619332863. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2009 N CONWAY AVE
MISSION, TX
ZIP 78572-965
Phone: (956) 655-8987

The enumeration date for this NPI number is 12/15/2015 and was last updated on 6/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	72973	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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