Organization
CANVAS COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL KITTRELL-JOHNSON PHD, LPC (OWNER)
(757) 632-7107
Entity
Organization
Contact information
Practice address
3575 BRIDGE RD, STE 8 # 201, SUFFOLK, VA 23435
(757) 632-7107
Mailing address
3575 BRIDGE RD, STE 8 #201, SUFFOLK, VA 23435
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
02/16/2023
Last updated
07/05/2023
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