Individual
CRYSTAL RENEE BREEDLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
155 DEER RUN RD, DANVILLE, VA 24540-2863
(434) 835-4601
Mailing address
2872 BLAIRMONT DR, DANVILLE, VA 24540-6134
(434) 548-3011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010980
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701010980
—
VA
Enumeration date
11/11/2021
Last updated
11/11/2021
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