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1962161786
CRYSTAL MONIQUE ELLIS
HENRICO, VA
NPI
1962161786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701010977)
Enumeration Date
2021-12-09
Last Update Date
2021-12-09
Business Address
CRYSTAL MONIQUE ELLIS LPC
5402 GLENSIDE DR STE D
HENRICO, VA 23228-3994
Phone number: 757-329-8037
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Mailing Address
CRYSTAL MONIQUE ELLIS LPC
2530 LAKEFIELD MEWS CT APT L
HENRICO, VA 23231-4185
Phone number: 757-329-8037
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