| NPI | 1053168393 |
|---|---|
| Former Legal Business Name | CRYSTAL MITCHELL COUNSELING |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL SHANATAI MITCHELL-BRIVETT Managing Member 203-898-4265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |