MISS CRYSTAL A WAITES LPC, LCAS,LSC
NPI 1669522116
Counselor - Professional in Fredericksburg, VA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since January 10, 2007

701 KENMORE AVE STE 105, FREDERICKSBURG, VA 22401(403) 225-4245(866) 780-4133 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Miss Crystal A Waites Lpc, Lcas,lsc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS CRYSTAL A WAITES LPC, LCAS,LSC (NPI 1669522116) is an individual professional provider in Fredericksburg, Virginia, licensed in Virginia (0701005844) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1669522116

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMISS CRYSTAL A WAITESCredential: LPC, LCAS,LSC

Location Address701 KENMORE AVE STE 105Fredericksburg, VA 22401-5792

Mailing Address701 Kenmore Ave Ste 105Fredericksburg, VA 22401-5792 · (540) 322-5424 · Fax (866) 780-4133

Phone(403) 225-4245

Fax(866) 780-4133

Sole ProprietorYes

Enumeration DateJanuary 10, 2007

Last NPPES UpdateJuly 12, 2019

✔ NPI 1669522116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in VA · 0701005844✔ Licensed in NC · 6638

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1551 (NC)

Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 3036 (NC)

701 KENMORE AVE STE 105, Fredericksburg, VA 22401

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Other Identifiers 1

Medicaid6103593NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›