Jenkins, Cristal Rose
Jenkins, Cristal Rose is an individual health care provider with primary practice located at 4318 Old Hundred Rd Ste C , Chester VA 23831-4231. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jenkins, Cristal Rose can be contacted via phone (804) 621-5572.Contact Information
Primary practice address
4318 Old Hundred Rd Ste C
Chester VA 23831-4231
Phone: (804) 621-5572
Fax: (253) 620-5831
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | RC60063009 | Washington |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904011150 | Virginia |
Profile Details
NPI number | 1134374747 |
---|---|
LBN Legal business name | Jenkins, Cristal Rose |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 24th, 2008 |
Last updated | Sep 8th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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