Individual
CRYSTAL LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
500 OLD LYNCHBURG RD, CHARLOTTESVILLE, VA 22903-6500
(434) 972-1800
(434) 972-1860
Mailing address
500 OLD LYNCHBURG RD, CHARLOTTESVILLE, VA 22903-6500
(434) 972-1800
(434) 972-1860
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003679
VA
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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