MRS. CRYSTAL LYNN DALEBROUX LMFT CSAC NPI 1881718294

NPI Information

NPI: 1881718294
Provider Name: MRS. CRYSTAL LYNN DALEBROUX, LMFT CSAC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
7818 BIG SKY DR STE 101
MADISON, WI
ZIP 53719
Phone: (608) 203-6267
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MRS. Crystal Lynn Dalebroux, LMFT CSAC is a mental health counselor in Madison, WI. MRS. Crystal Lynn Dalebroux, LMFT CSAC NPI is 1881718294. 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:

7818 BIG SKY DR STE 101
MADISON, WI
ZIP 53719-840
Phone: (608) 203-6267
Fax: (608) 203-6696

The enumeration date for this NPI number is 3/19/2007 and was last updated on 11/29/2010.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	15321-132	WISCONSIN	No
2	101YM0800X	Counselor	Mental Health	773-124	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100002735	MEDICAID	WISCONSIN

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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