Doctor Name: | MRS. VIVIAN CELESTE CRITES |
NPI Number: | 1023144870 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCISW,LMFT,LCDC,SAP |
License Number: | 1-2027479-2007 |
Business Practice Address: | 4004 Rhymer Highway Suite 2-5 Doctor's Park Ii St. Thomas, VI - 00802 |
Business Phone Number: | 3407779363 |
Business Fax Number: | 3407753983 |
Mailing Address: | 9100 Port Of Sale Mall, Suite #15 ST THOMAS |
State: | VI |
Postal Code: | 008023602 |
Phone Number: | 3407779393 |
Fax Number: | 3407753983 |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1-2027479-2007 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |