Individual
CHRYSTAL COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
260 GUNN AVE, VINTON, VA 24179-2014
(540) 206-6604
Mailing address
260 GUNN AVE, VINTON, VA 24179-2014
(540) 206-6604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013096
VA
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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