Individual
KRYSTEN DANIELLE HEATH GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
3235 ELECTRIC RD STE 1A, ROANOKE, VA 24018-6404
(540) 788-5090
Mailing address
3235 ELECTRIC RD STE 1A, ROANOKE, VA 24018-6404
(540) 788-5090
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710103018
VA
101YP2500X
Professional Counselor
Primary
0701007312
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437137734
—
VA
Enumeration date
10/13/2017
Last updated
12/05/2018
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