Provider Demographics
NPI:1689340010
Name:IRONS, CRISTAL (LMHC-P)
Entity Type:Individual
Prefix:
First Name:CRISTAL
Middle Name:
Last Name:IRONS
Suffix:
Gender:F
Credentials:LMHC-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 SHELDON DR
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:NY
Mailing Address - Zip Code:12701-4122
Mailing Address - Country:US
Mailing Address - Phone:845-513-5754
Mailing Address - Fax:914-292-3422
Practice Address - Street 1:41 SHELDON DR
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-4122
Practice Address - Country:US
Practice Address - Phone:845-798-5342
Practice Address - Fax:845-513-5342
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY110677-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health