Individual
CRYSTAL L AGNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCMHC, LCPC
Contact information
Practice address
14030 MILLERS CREEK LN, CHARLOTTE, NC 28278-7246
(980) 253-6009
(888) 281-3008
Mailing address
14030 MILLERS CREEK LN, CHARLOTTE, NC 28278-7246
(980) 253-6009
(888) 281-3008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701010555
VA
101YM0800X
Mental Health Counselor
Primary
15278
NC
101YM0800X
Mental Health Counselor
8064
SC
101YM0800X
Mental Health Counselor
LC12349
MD
101YM0800X
Mental Health Counselor
LPC007293
GA
Other
Enumeration date
01/20/2012
Last updated
11/29/2022
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