Individual
CRYSTAL VECHLEKAR BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCMHC, LCAS
Contact information
Practice address
1533 S MAIN ST, WINSTON SALEM, NC 27127-2738
(336) 770-3288
Mailing address
1533 S MAIN ST, WINSTON SALEM, NC 27127-2738
(336) 770-3288
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22024
NC
101YM0800X
Mental Health Counselor
Primary
11903
NC
Other
Enumeration date
11/30/2015
Last updated
07/10/2023
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