Brazie, Crystina L

Brazie, Crystina L is an sole proprietor health care provider with primary practice located at 1744 E Mcandrews Rd Suite B, Medford OR 97504. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brazie, Crystina L can be contacted via phone (541) 776-0821.

Contact Information

Primary practice address
1744 E Mcandrews Rd Suite B Medford OR 97504
Phone: (541) 776-0821
Fax: (541) 776-5011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X L5673 Oregon

Profile Details

NPI number 1821392861
LBN Legal business name Brazie, Crystina L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2011
Last updated Feb 12th, 2016 - about 10 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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