Provider Demographics
NPI:1558078279
Name:CRINER, SETH ALEXANDER
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:ALEXANDER
Last Name:CRINER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8003 FRANKLIN FARMS DR RM 131
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5107
Mailing Address - Country:US
Mailing Address - Phone:804-716-0428
Mailing Address - Fax:
Practice Address - Street 1:8003 FRANKLIN FARMS DR RM 131
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-5107
Practice Address - Country:US
Practice Address - Phone:540-235-1817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-02
Last Update Date:2023-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011925101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor