Individual
MRS. CRYSTAL MARIE GROOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1315 2ND ST SW STE 300, ROANOKE, VA 24016-4935
(540) 494-8845
Mailing address
601 CAMPBELL AVE SW, ROANOKE, VA 24016-3531
(540) 339-9195
(540) 339-9197
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005507
VA
Other
Enumeration date
07/29/2013
Last updated
08/07/2019
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