| Crystal Durrett, Licensed Clinical Social Worker, Pc | |
|
427 F St Ste 234 Eureka CA 95501-1037 | |
| (707) 954-7060 | |
| Not Available |
| Full Name | Crystal Durrett, Licensed Clinical Social Worker, Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 427 F St Ste 234, Eureka, California |
| Authorized Official Name and Position | Crystal Dawn Durrett (PRESIDENT) |
| Authorized Official Contact | 7079547060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Durrett, Licensed Clinical Social Worker, Pc 427 F St Ste 234 Eureka CA 95501-1037 Ph: (707) 954-7060 | Crystal Durrett, Licensed Clinical Social Worker, Pc 427 F St Ste 234 Eureka CA 95501-1037 Ph: (707) 954-7060 |
| NPI Number | 1730799925 |
|---|---|
| Provider Enumeration Date | 08/03/2020 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Medicare PECOS PAC ID | 3274945738 |
|---|---|
| Medicare Enrollment ID | O20201208000739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730799925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Crystal Dawn Durrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982871844 PECOS PAC ID: 4183036643 Enrollment ID: I20201208000896 |
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