Provider Demographics
NPI:1689943698
Name:CRESSEY, CRYSTAL N (LMFT)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:N
Last Name:CRESSEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:CRYSTAL
Other - Middle Name:N
Other - Last Name:MCMAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFTA
Mailing Address - Street 1:15625 119TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-4117
Mailing Address - Country:US
Mailing Address - Phone:253-381-0013
Mailing Address - Fax:
Practice Address - Street 1:11711 SE 8TH ST STE 315
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3543
Practice Address - Country:US
Practice Address - Phone:425-336-1507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-20
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60565404101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health