Crystal Chafin
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Cedar Bluff, VA
NPI 1821857699 · NPPES record last updated Apr 2, 2024
Key facts
- NPI
- 1821857699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 0709025442 (VA)
- Practice address
- 111 Town Hollow Rd
Cedar Bluff, VA 24609-9622 - Phone
- (276) 963-3554
- Fax
- (276) 963-4802
- NPI assigned
- Mar 15, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0709025442 | VA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Triangle Therapy, Coaching & Supervision Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0709025442 | VA | Yes |
Addresses
Primary practice location
111 Town Hollow Rd
Cedar Bluff, VA 24609-9622
Mailing address
111 Town Hollow Rd
Cedar Bluff, VA 24609-9622
Phone (276) 963-3554
Other practice location 1
135 Cedar Ave Apt 10
Lebanon, VA 24266-7174
Phone (276) 614-5991
Other providers in Cedar Bluff, VA
- Cory Tyler Brown
- Kimberly Denise Bryant
- Christopher Robert Buchanan
- Donna Callis
- Cynthia Carty
- Bell A Charles
- Claypool Hill Physical Therapy
- Heath Clevinger
- Tiffany Clevinger
- Clinch Professional Physician Services LLC
All providers in Cedar Bluff, VA · Addiction (Substance Use Disorder) Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.