Individual
CRYSTAL CHANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1965 JEFFERSON DAVIS HWY, FREDERICKSBURG, VA 22401
(540) 735-0650
(540) 735-0567
Mailing address
1965 JEFFERSON DAVIS HWY, FREDERICKSBURG, VA 22401-6213
(540) 735-0650
(540) 735-0567
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009134
VA
Other
Enumeration date
08/31/2015
Last updated
09/06/2018
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