Stephany, Chrystal

Stephany, Chrystal is an sole proprietor health care provider with primary practice located at N7640 Cty Rd Wh Ste 200, Fond Du Lac WI 54935-5493. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Stephany, Chrystal can be contacted via phone (920) 933-3736.

Contact Information

Primary practice address
N7640 Cty Rd Wh Ste 200 Fond Du Lac WI 54935-5493
Phone: (920) 933-3736
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16445 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 6151-125 Wisconsin

Profile Details

NPI number 1942675236
LBN Legal business name Stephany, Chrystal
Credentials MA,LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2015
Last updated Oct 11th, 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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