Provider Demographics
NPI:1336503903
Name:MORTON, CRYSTAL DELL (LIMHP, LMHC, LPCC)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:DELL
Last Name:MORTON
Suffix:
Gender:F
Credentials:LIMHP, LMHC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54919 DEACON RD
Mailing Address - Street 2:
Mailing Address - City:PACIFIC JUNCTION
Mailing Address - State:IA
Mailing Address - Zip Code:51561-4165
Mailing Address - Country:US
Mailing Address - Phone:402-680-6429
Mailing Address - Fax:712-215-8178
Practice Address - Street 1:54919 DEACON RD
Practice Address - Street 2:
Practice Address - City:PACIFIC JUNCTION
Practice Address - State:IA
Practice Address - Zip Code:51561-4165
Practice Address - Country:US
Practice Address - Phone:402-680-6429
Practice Address - Fax:712-215-8178
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-11
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1953101Y00000X, 101YM0800X
MN3122101YP2500X
NE1384101YA0400X
IA094594101YM0800X
NE2416101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)