Provider Information for 1649917402
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CRYSTAL JOURNETTE HAWKES LPC
Other Names:Former Name:CRYSTAL JOURNETTESex: Female
NPI: 1649917402
Last Updated: 2022-05-13
Certification Date: 2022-05-13
Certification Date: 2022-05-13
Details
| Name | Value | ||||||||
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| NPI | 1649917402 | ||||||||
| Enumeration Date | 2022-05-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 10299 WOODMAN RD GLEN ALLEN, VA 23060-4419 United States Phone: 804-727-8100 | Fax:804-727-8580 | ||||||||
| Primary Practice Address | 10299 WOODMAN RD GLEN ALLEN, VA 23060-4419 United States Phone: 804-727-8500 | Fax:804-727-8580 | ||||||||
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