Individual
CRYSTAL SOMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 VILLAGE HWY, RUSTBURG, VA 24588-4112
(434) 332-5159
Mailing address
3410 OLD FOREST RD, LYNCHBURG, VA 24501-2915
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007384
VA
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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