Crystal N. Broughton
Crystal N. Broughton is a Counselor in Conyers, Georgia. Licensed in Georgia. Registered with an NPI since 2019.
- Licensed in
- GA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
1775 Parker Rd SE Ste 210Conyers, GA 30094-6654
Phone: (470) 967-8663
Fax: (678) 218-4253
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 013641 (GA) |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1013575877 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 5, 2019 |
| Last updated in NPPES | January 31, 2024 |
| Certification date | January 31, 2024 |
| Mailing address | 1007 Green St Se Unit 1823, Conyers, GA 30012-5556 |
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