Individual provider · Type 1 NPI

Cristal Lynn Lake-Sanders, NCC, LPC, M.ED.

Professional Counselor · Midlothian, VA

NPI number 1396984274 Active

Practice location

4906 Millridge Pkwy E
Midlothian, VA 23112-4828

Fax (804) 744-5202

Mailing address

14308 Long Hill Rd
Midlothian, VA 23112-4302

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701004299 (VA)

Professional Counselor: Definition to come...

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About NPI 1396984274

Cristal Lynn Lake-Sanders, NCC, LPC, M.ED.'s National Provider Identifier is 1396984274, issued on Feb 17, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Midlothian, VA. The record was last updated on Feb 19, 2010.