Crystal Marie Deatherage
Crystal Marie Deatherage is an Addiction (Substance Use Disorder) Counselor in Escondido, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
1341 N Escondido BlvdEscondido, CA 92026-2507
Phone: (760) 844-7314
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X (CA) |
|---|
Record details
| NPI number | 1689166969 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 3, 2018 |
| Last updated in NPPES | October 21, 2020 |
| Certification date | October 21, 2020 |
| Mailing address | 1341 N Escondido Blvd, Escondido, CA 92026-2507 |
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