Gillespie, Crystyna Raeann
Gillespie, Crystyna Raeann is an individual health care provider with primary practice located at 776 S State St Ste 103 , Ukiah CA 95482-5833. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gillespie, Crystyna Raeann can be contacted via phone (707) 463-4915.Contact Information
Primary practice address
776 S State St Ste 103
Ukiah CA 95482-5833
Phone: (707) 463-4915
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW117539 | California |
Profile Details
| NPI number | 1952959173 |
|---|---|
| LBN Legal business name | Gillespie, Crystyna Raeann |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2019 |
| Last updated | Oct 27th, 2025 - about last year |
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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