Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystal Maravilla

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1508414871

Crystal Maravilla is an Addiction (Substance Use Disorder) Counselor in Fullerton, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

801 E Chapman Ave Ste 203
Fullerton, CA 92831-3846
Phone: (714) 680-9000
Fax: (714) 680-8223
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 23-7110152 (CA)

Record details

NPI number1508414871
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 29, 2019
Last updated in NPPESJune 17, 2021
Certification dateJune 17, 2021
Mailing addressPo Box 919, Fullerton, CA 92836-0919

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