Individual
KRYSTAL MARY FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4445 CORPORATION LN STE 245, VIRGINIA BEACH, VA 23462-3676
(757) 233-0003
Mailing address
4445 CORPORATION LN STE 245, VIRGINIA BEACH, VA 23462-3676
(757) 233-0003
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701015161
VA
Other
Enumeration date
06/04/2024
Last updated
07/29/2025
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