Individual
CRYSTALLYN ANNE HERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 PROFESSIONAL PARK DR SE, BLACKSBURG, VA 24060-6679
(540) 951-4800
Mailing address
200 PROFESSIONAL PARK DR SE STE 4, BLACKSBURG, VA 24060-6663
(540) 951-4800
(540) 951-3081
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904016198
VA
Other
Enumeration date
04/23/2020
Last updated
04/03/2024
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