Individual provider · Type 1 NPI

Crystal A. Waites, LPC, LCAS, LSC

Professional Counselor · Fredericksburg, VA

NPI number 1669522116 Active

Practice location

701 Kenmore Ave Ste 105
Fredericksburg, VA 22401-5792

Call (403) 225-4245 Map

Fax (866) 780-4133

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X1551 (NC)
Professional Counselor 101YP2500X6638 (NC)
School Counselor 101YS0200X3036 (NC)
Professional Counselor Primary 101YP2500X0701005844 (VA)

Professional Counselor: Definition to come...

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About NPI 1669522116

Crystal A. Waites, LPC, LCAS, LSC's National Provider Identifier is 1669522116, issued on Jan 10, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fredericksburg, VA. The record was last updated on Jul 12, 2019.