Provider Demographics
NPI:1134453921
Name:COLLIER, CRYSTAL ANN (LPC-S)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:ANN
Last Name:COLLIER
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 CROSBY ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-4715
Mailing Address - Country:US
Mailing Address - Phone:281-200-9380
Mailing Address - Fax:281-200-0000
Practice Address - Street 1:303 JACKSON HILL ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-7407
Practice Address - Country:US
Practice Address - Phone:281-200-9380
Practice Address - Fax:281-200-0000
Is Sole Proprietor?:No
Enumeration Date:2009-09-25
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17399101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional