Individual
MRS. CRISTAL ROSE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4318 OLD HUNDRED RD STE C, CHESTER, VA 23831-4231
(804) 621-5572
(253) 620-5831
Mailing address
4318 OLD HUNDRED RD STE C, CHESTER, VA 23831-4231
(804) 621-5572
(253) 620-5831
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
RC60063009
WA
1041C0700X
Clinical Social Worker
Primary
0904011150
VA
Other
Enumeration date
11/24/2008
Last updated
09/08/2022
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