Marcia Crutcher, LPC

Individual provider Active NPI Professional Counselor · Boyce, VA

NPI 1376795088 · NPPES record last updated Mar 21, 2023

Key facts

NPI
1376795088
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
0701004443 (VA)
Practice address
14 W Main St
Boyce, VA 22620-9721
Phone
(540) 550-6355
NPI assigned
Oct 14, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0701004443VAMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701004443 VA Yes

Addresses

Primary practice location

14 W Main St
Boyce, VA 22620-9721

Mailing address

14 W Main St
Boyce, VA 22620-9721
Phone (540) 550-6355

Other identifiers

IdentifierTypeStateIssuer
0701004443MedicaidVA

Other providers in Boyce, VA

All providers in Boyce, VA · Professional Counselor in Virginia

Sources for this page

Verify at the official NPI Registry.