Individual
CRYSTAL N COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWC
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR # 4420, FAIRFAX, VA 22031-4512
(571) 623-3500
Mailing address
4200 FORBES BLVD STE 216, LANHAM, MD 20706-4342
(301) 533-7667
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015669
VA
1041C0700X
Clinical Social Worker
19290
MD
1041C0700X
Clinical Social Worker
LC50079957
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0960861 00
—
MD
Enumeration date
05/02/2007
Last updated
03/28/2024
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