Individual
CRYSTAL MONIQUE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5402 GLENSIDE DR STE D, HENRICO, VA 23228-3994
(757) 329-8037
Mailing address
2530 LAKEFIELD MEWS CT APT L, HENRICO, VA 23231-4185
(757) 329-8037
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010977
VA
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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