NPI 1013575877

Crystal N. Broughton

Practitioner Professional Counselor Conyers, GA

Practice location

Address: 1775 Parker Rd SE STE 210, Conyers, GA 30094-6654
Phone: (470) 967-8663
Fax: (678) 218-4253
Mailing address: 1007 Green St SE Unit 1823, Conyers, GA 30012-5556

Registered specialties (2)

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 013641 (GA)

Other Counselor providers in Georgia →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

Registry record

NPI: 1013575877
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2019
Record last updated: 31 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.