person
Miss Crystal A Waites, LPC,LCAS,LSC
Professional Counselor in Fredericksburg, Virginia
NPI 1669522116

Crystal A Waites is a Professional Counselor based in Fredericksburg, VA and is specialized in Professional. Crystal A Waites practices in Fredericksburg, VA and has the professional credentials of LPC,LCAS,LSC. The NPI Number for Crystal A Waites is 1669522116 and holds a License No. 1551 (Virginia).

The current practice location address for Crystal A Waites is 701 Kenmore Ave Ste 105, Fredericksburg, VA and can be reached out via phone at 403-225-4245 and via fax at 866-780-4133.

Location: 701 Kenmore Ave Ste 105, Fredericksburg, VA, 22401-5792
person
Provider Profile Details
NPI Number
1669522116
Provider Name
Crystal A Waites
Credential
LPC,LCAS,LSC
Provider Entity Type
Individual
Gender
Female
Address
701 Kenmore Ave Ste 105, Fredericksburg, VA, 22401-5792
Phone Number
403-225-4245
Fax Number
866-780-4133
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6103593 05 NC
institution
Provider Business Practice Location Address Details
Address
701 Kenmore Ave Ste 105
City
State
Zip
22401-5792
Phone Number
403-225-4245
Fax Number
866-780-4133
person
Provider Business Mailing Address Details
Address
701 Kenmore Ave Ste 105
City
State
Zip
22401-5792
Phone Number
403-225-4245
Fax Number
866-780-4133
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3036 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6638 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
License No.
1551 (North Carolina)
Definition
Definition to come...
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