Provider Demographics
NPI:1699375030
Name:THOMSON, CRYSTAL MARIE (LMFT)
Entity type:Individual
Prefix:MS
First Name:CRYSTAL
Middle Name:MARIE
Last Name:THOMSON
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:743 E WOODMAN DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-3711
Mailing Address - Country:US
Mailing Address - Phone:480-427-0097
Mailing Address - Fax:480-452-1221
Practice Address - Street 1:1405 E GUADALUPE RD STE 3
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-3971
Practice Address - Country:US
Practice Address - Phone:480-921-3314
Practice Address - Fax:480-967-0174
Is Sole Proprietor?:No
Enumeration Date:2020-10-26
Last Update Date:2025-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health