Individual
MRS. CRYSTAL NICOLE PETTREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
120 PROFESSIONAL PL STE 101, BRIDGEPORT, WV 26330-4599
(304) 513-3495
Mailing address
271 LEAH DR, PRINCETON, WV 24739-9150
(304) 952-2693
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SW062517538
WV
104100000X
Social Worker
Primary
SW062517538
WV
Other
Enumeration date
06/23/2025
Last updated
04/15/2026
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