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Contact Information

CRYSTAL MAZAC
7972 MAPLE AVE SE
SNOQUALMIE, WA98065
 Phone: 425-292-0743
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for CRYSTAL MAZAC · (Female)

NPI Number 1366913519
Status Active
Credentials
Entity Individual
Enumeration date 12/16/2018
Last updated 02/19/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • WA Medicaid CG60854932
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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