Individual
CRYSTAL D MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8767 SEMINOLE TRL STE 201B, RUCKERSVILLE, VA 22968
(434) 990-1744
Mailing address
753 GERANIUM RD, RUCKERSVILLE, VA 22968-2416
(540) 830-9018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701005126
VA
101YP2500X
Professional Counselor
Primary
0701005126
VA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/17/2011
Last updated
10/01/2024
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