Individual
NICOLE CHRISTOPHER CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
422 ELM AVE SW, ROANOKE, VA 24016-3920
(804) 986-6298
Mailing address
422 ELM AVE SW, ROANOKE, VA 24016-3920
(804) 986-6298
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701007698
VA
Other
Enumeration date
06/18/2018
Last updated
09/30/2022
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