Provider Demographics
NPI:1730633728
Name:MCGREGOR, CRYSTAL GRAY (LMHC)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:GRAY
Last Name:MCGREGOR
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17610 WOODINVILLE SNOHOMISH RD NE UNIT 2402
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-0129
Mailing Address - Country:US
Mailing Address - Phone:206-274-8758
Mailing Address - Fax:
Practice Address - Street 1:17633 167TH AVE NE
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-9609
Practice Address - Country:US
Practice Address - Phone:206-274-8758
Practice Address - Fax:206-703-2205
Is Sole Proprietor?:No
Enumeration Date:2016-08-08
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61074241101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health