Individual
MS. CRYSTAL MONIQUE BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPC
Contact information
Practice address
610 THIMBLE SHOALS BLVD STE 303B, NEWPORT NEWS, VA 23606-4503
(757) 812-3835
(757) 282-5963
Mailing address
16 ELIZABETH RD, HAMPTON, VA 23669-4702
(757) 812-3835
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701008555
VA
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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