CRYSTAL AHLSTROM
NPI 1790154607
Counselor - Mental Health in Grants Pass, OR
Active since September 21, 2015
About Crystal Ahlstrom NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL AHLSTROM (NPI 1790154607) is an individual mental health provider in Grants Pass, Oregon and active in the NPI registry since September 2015.
NPPES Registry Identity
NPI1790154607
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCRYSTAL AHLSTROM
Location Address715 SW RAMSEY AVEGrants Pass, OR 97527-5500
Mailing Address715 Sw Ramsey AveGrants Pass, OR 97527-5500
Phone(541) 789-7000
Sole ProprietorNo
Enumeration DateSeptember 21, 2015
✔ NPI 1790154607 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
715 SW RAMSEY AVE, Grants Pass, OR 97527
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790154607, enumerated as an "individual" on September 21, 2015.
The provider is located at 715 SW RAMSEY AVE GRANTS PASS, OR 97527 and the phone number is (541) 789-7000.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.