De La Cruz, Crystalynn
De La Cruz, Crystalynn is an individual health care provider with primary practice located at 867 Main St Ste 5 , Manchester CT 06040-6034. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. De La Cruz, Crystalynn can be contacted via phone (860) 325-2541.Contact Information
Primary practice address
867 Main St Ste 5
Manchester CT 06040-6034
Phone: (860) 325-2541
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 098293052 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 009966 | Connecticut |
Profile Details
| NPI number | 1831450121 |
|---|---|
| LBN Legal business name | De La Cruz, Crystalynn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2012 |
| Last updated | Apr 26th, 2022 - about 4 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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