Provider Demographics
NPI:1821891516
Name:RICHARDSON, CRYSTAL MCCALL (LPC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:MCCALL
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1917 HAWKEN DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-1761
Mailing Address - Country:US
Mailing Address - Phone:469-855-2637
Mailing Address - Fax:469-855-2637
Practice Address - Street 1:1917 HAWKEN DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-1761
Practice Address - Country:US
Practice Address - Phone:469-855-2637
Practice Address - Fax:469-855-2637
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93910101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health