Provider Demographics
NPI:1033846233
Name:VALDEZ, CRYSTAL URIAS (LCSW)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:URIAS
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6608 OVERVIEW DR APT 1626
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-0911
Mailing Address - Country:US
Mailing Address - Phone:682-712-8555
Mailing Address - Fax:
Practice Address - Street 1:6608 OVERVIEW DR APT 1626
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-0911
Practice Address - Country:US
Practice Address - Phone:682-329-0424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-07
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69461101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health