Bicego, Crystal Antoinette

Bicego, Crystal Antoinette is an individual health care provider with primary practice located at 17337 Ventura Blvd Ste 327, Encino CA 91316-3903. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Bicego, Crystal Antoinette can be contacted via phone (310) 461-4361.

Contact Information

Primary practice address
17337 Ventura Blvd Ste 327 Encino CA 91316-3903
Phone: (310) 461-4361
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X IMF85211 California

Profile Details

NPI number 1841663093
LBN Legal business name Bicego, Crystal Antoinette
Credentials M. S. MFT INTERN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2015
Last updated Dec 4th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841663093 NPPES
California Other 1942234133 ESTEE DIAMOND, MS, LMFT

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