Organization
ESSENTIAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL LEE PMHNP (OWNER)
(856) 313-2521
Entity
Organization
Contact information
Practice address
10560 MAIN ST STE 310, FAIRFAX, VA 22030-7175
(856) 313-2521
Mailing address
24672 PANTZLAFF FARM TER, STERLING, VA 20166-2751
(856) 313-2521
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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