Individual
MRS. CRYSTAL GAIL RIDLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
804 N COLLEGE AVE STE 100, BLOOMINGTON, IN 47404-3599
(812) 369-2113
Mailing address
804 N COLLEGE AVE STE 100, BLOOMINGTON, IN 47404-3599
(812) 369-2113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2020030122
MO
101YM0800X
Mental Health Counselor
Primary
39003456A
IN
Other
Enumeration date
01/25/2019
Last updated
03/04/2021
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