Organization
HERON'S NEST COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTALLYN ANNE HERON LCSW (OWNER)
(540) 212-9202
Entity
Organization
Contact information
Practice address
655 CARSON DR, CHRISTIANSBURG, VA 24073-4323
(540) 212-9202
Mailing address
655 CARSON DR, CHRISTIANSBURG, VA 24073-4323
(540) 212-9202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992325658
—
VA
Enumeration date
09/26/2024
Last updated
09/26/2024
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