Provider Demographics
NPI:1851549984
Name:RINGENBERG, CRYSTAL LYNN (MS)
Entity Type:Individual
Prefix:MS
First Name:CRYSTAL
Middle Name:LYNN
Last Name:RINGENBERG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3029 34TH AVE S
Mailing Address - Street 2:240
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-5119
Mailing Address - Country:US
Mailing Address - Phone:402-212-8126
Mailing Address - Fax:
Practice Address - Street 1:4733 AMBER VALLEY PKWY S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-8614
Practice Address - Country:US
Practice Address - Phone:402-212-8126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2008-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health