Crystal Leake, LPC

NPI 1235532714 · on the registry since 2014 · sole proprietor

Practice

Address: 3504 Industrial Ave Ste 214
Fairbanks, AK 99701
Phone: (907) 452-4673
Fax: (907) 452-1430
Organisation at this address: Grace In Motion
Samaritan Counseling Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: AK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-09-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska