Crystal Elisabeth Courtner
Counselor, Professional in Manassas, VA. Individual provider (NPI-1).
NPI number1316645583
StatusActive
Last updated in NPPESFeb 17, 2023
Details
- NPI
- 1316645583
- Entity type
- Individual (NPI-1)
- Name
- Crystal Elisabeth Courtner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2023
- Certification date
- Feb 17, 2023
- Last updated
- Feb 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0701012139 | VA | Yes |
Practice location
7969 Ashton AveManassas, VA 20109-2885
Phone 703-792-7800
Mailing address
9024 Andromeda DrBurke, VA 22015-3505
Phone 703-792-7800
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