Provider Demographics
NPI:1598567604
Name:FAISON-CREW, KATRINA MICHELE (LPC)
Entity type:Individual
Prefix:MS
First Name:KATRINA
Middle Name:MICHELE
Last Name:FAISON-CREW
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 SILVERBERRY DR APT 108
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-3281
Mailing Address - Country:US
Mailing Address - Phone:757-297-6746
Mailing Address - Fax:
Practice Address - Street 1:200 E 2ND AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:VA
Practice Address - Zip Code:23851-1506
Practice Address - Country:US
Practice Address - Phone:757-297-6746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701014674101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional