Individual
CRYSTAL M MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
120 BLACK HAWK DR, STAFFORD, VA 22554-5550
(724) 840-4943
Mailing address
120 BLACK HAWK DR, STAFFORD, VA 22554-5550
(724) 840-4943
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
0701012867
VA
101YP2500X
Professional Counselor
MHC-745
HI
Other
Enumeration date
09/09/2013
Last updated
05/14/2025
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