Dudley, Crystal Dionne
Dudley, Crystal Dionne is an individual health care provider with primary practice located at 309 E Austin St Ste 16 , Marshall TX 75670-3475. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dudley, Crystal Dionne can be contacted via phone (469) 608-0295.Contact Information
Primary practice address
309 E Austin St Ste 16
Marshall TX 75670-3475
Phone: (469) 608-0295
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Texas | |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Texas |
Profile Details
| NPI number | 1477050284 |
|---|---|
| LBN Legal business name | Dudley, Crystal Dionne |
| Credentials | LPC, LCDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2018 |
| Last updated | Jan 12th, 2026 - about 9 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477050284 | NPPES |
| Texas | MEDICAID | 3921009-01 |
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