Individual
MS. CRYSTAL ANITA PATRICK - JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
204 MUIRS CHAPEL RD STE 126, GREENSBORO, NC 27410-6173
(336) 638-1933
Mailing address
4200 NW 3RD CT APT 328, PLANTATION, FL 33317-2815
(954) 583-1207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
P022950
NC
Other
Enumeration date
03/17/2010
Last updated
04/06/2026
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