Individual
MS. HEATHER RENE CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
34084 WILDERNESS ROAD, JONESVILLE, VA 24263
(276) 346-3590
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DRIVE, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701003568
VA
101YP2500X
Professional Counselor
Primary
0701003568
VA
Other
Enumeration date
02/01/2007
Last updated
10/14/2019
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