Individual
MRS. KRYSTLE KAYLEE KREIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LCPC
Contact information
Practice address
2875 TINA AVE STE 106, MISSOULA, MT 59808-1582
(406) 552-3587
Mailing address
6315 LONE MOOSE CT, FLORENCE, MT 59833-6005
(505) 977-5376
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0181471
NM
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-43090
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0687193
—
MT
05
—
6775241
—
NM
Enumeration date
02/18/2014
Last updated
07/20/2022
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