Organization
COUCH TALK WITH CRYSTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL NEVILLE LMFT (EXECUTIVE DIRECTOR)
(804) 412-8504
Entity
Organization
Contact information
Practice address
1248 CARMIA WAY # 1164, NORTH CHESTERFIELD, VA 23235-4750
(804) 412-8504
Mailing address
429 CREEKWILLOW DR, MIDLOTHIAN, VA 23113-3428
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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