Provider Demographics
NPI:1871726802
Name:BROWN-VOELTZ, CRYSTAL OLIVIA (DSW, LISW-CP, MAC)
Entity type:Individual
Prefix:DR
First Name:CRYSTAL
Middle Name:OLIVIA
Last Name:BROWN-VOELTZ
Suffix:
Gender:F
Credentials:DSW, LISW-CP, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 REMOUNT RD # BLGD3107
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-3544
Mailing Address - Country:US
Mailing Address - Phone:843-478-6011
Mailing Address - Fax:
Practice Address - Street 1:1050 REMOUNT RD # BLGD3107
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-3544
Practice Address - Country:US
Practice Address - Phone:843-478-6011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-25
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC58161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical