Provider Demographics
NPI:1477372480
Name:COATES, CRYSTAL (AMFT)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:COATES
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:CRYSTAL
Other - Middle Name:
Other - Last Name:FLOWER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1380 EAST AVE STE 124 PMB 173
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926
Mailing Address - Country:US
Mailing Address - Phone:530-588-0448
Mailing Address - Fax:530-636-4888
Practice Address - Street 1:1074 EAST AVE STE A4
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1052
Practice Address - Country:US
Practice Address - Phone:530-588-0448
Practice Address - Fax:530-636-4888
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist