Mazac, Crystal

Mazac, Crystal is an sole proprietor health care provider with primary practice located at 7972 Maple Ave Se , Snoqualmie WA 98065. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Mazac, Crystal can be contacted via phone (425) 292-0743.

Contact Information

Primary practice address
7972 Maple Ave Se Snoqualmie WA 98065
Phone: (425) 292-0743
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Washington
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1366913519
LBN Legal business name Mazac, Crystal
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2018
Last updated Feb 19th, 2019 - about 7 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 1366913519 NPPES
Washington MEDICAID CG60854932

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