Individual
KRISTA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 LINCOLNWAY E, MISHAWAKA, IN 46544-4020
(574) 807-6009
Mailing address
4201 LINCOLNWAY E, MISHAWAKA, IN 46544-4020
(574) 807-6009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003987A
IN
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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