Individual provider · Type 1 NPI
Mark R. Crutchfield
Mental Health Counselor · Chantilly, VA
NPI number
1235887928
Active
Practice location
14012 Sullyfield Cir Ste E
Chantilly, VA 20151-1681
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0701011308 (VA) |
Mental Health Counselor: Definition to come...
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About NPI 1235887928
Mark R. Crutchfield's National Provider Identifier is 1235887928, issued on Mar 12, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chantilly, VA. The record was last updated on May 8, 2025.