Individual
CRYSTAL ROSE GOULART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5205 COLLEY AVE, NORFOLK, VA 23508-2043
(757) 536-1233
Mailing address
5424 ASHBY ST, NORFOLK, VA 23502-1824
(707) 327-6006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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