Individual
TITONI LEVON CRENSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHP, CSAC
Contact information
Practice address
2825 S CRATER RD, PETERSBURG, VA 23805-2473
(804) 712-3546
Mailing address
6985 HEARTHSIDE DR, PRINCE GEORGE, VA 23875-2663
(804) 712-3546
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
VA
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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