Crystal Pureco-carmona, is a
Counselor based in Fresno, California. Crystal Pureco-carmona is licensed to practice in * (Not Available) (license number ) and her current practice location is
4575 E Terrace Ave, Fresno, California. She can be reached at her office (for appointments etc.) via phone at
(559) 375-6822.
NPI number for Crystal Pureco-carmona is 1265194740 and her current mailing address is 4575 E Terrace Ave, Fresno, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265194740.
Healthcare Provider's Profile
| Full Name | Crystal Pureco-carmona |
|---|
| Gender | Female |
|---|
| Speciality | Counselor |
|---|
| Location | 4575 E Terrace Ave, Fresno, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1265194740
- Provider Enumeration Date: 10/12/2021
- Last Update Date: 10/12/2021
Medical Identifiers
Medical identifiers for Crystal Pureco-carmona such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265194740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Pureco-carmona is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Crystal Pureco-carmona,
4575 E Terrace Ave,
Fresno, CA 93703-2052
Ph: (559) 375-6822 | Crystal Pureco-carmona,
4575 E Terrace Ave,
Fresno, CA 93703-2052
Ph: (559) 375-6822 |
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