Provider Demographics
NPI:1821789728
Name:MCDOWELL, CHRYSTAL N (LMFT, PHD)
Entity type:Individual
Prefix:DR
First Name:CHRYSTAL
Middle Name:N
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:LMFT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 HIGH MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32311-1218
Mailing Address - Country:US
Mailing Address - Phone:478-318-5158
Mailing Address - Fax:
Practice Address - Street 1:2139 MARYLAND CIR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-1001
Practice Address - Country:US
Practice Address - Phone:850-644-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-19
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT4907106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist