| Crystal Hills Counseling And Consulting Services Pllc | |
|
3309 Fiechtner Dr S Ste B Fargo ND 58103-2375 | |
| (701) 747-0170 | |
| Not Available |
| Full Name | Crystal Hills Counseling And Consulting Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 3309 Fiechtner Dr S Ste B, Fargo, North Dakota |
| Authorized Official Name and Position | James Daniel Cronin (OWNER) |
| Authorized Official Contact | 7017470170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Hills Counseling And Consulting Services Pllc 3309 Fiechtner Dr S Ste B Fargo ND 58103-2375 Ph: (701) 747-0170 | Crystal Hills Counseling And Consulting Services Pllc 3309 Fiechtner Dr S Ste B Fargo ND 58103-2375 Ph: (701) 747-0170 |
| NPI Number | 1306505870 |
|---|---|
| Provider Enumeration Date | 12/13/2021 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Medicare PECOS PAC ID | 1456735893 |
|---|---|
| Medicare Enrollment ID | O20220901003297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306505870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | James Daniel Cronin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861602591 PECOS PAC ID: 3274917612 Enrollment ID: I20220901003358 |
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