Individual
MRS. KRYSTAL GAIL STOLLINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA ED.S
Contact information
Practice address
506 HOLLY AVE, LOGAN, WV 25601-3306
(304) 792-2088
(304) 752-7471
Mailing address
506 HOLLY AVE, LOGAN, WV 25601-3306
(304) 369-5223
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5764
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810008983
—
WV
Enumeration date
01/28/2008
Last updated
01/28/2008
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