Individual
CRYSTAL ANN SHULDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 CHITTYVILLE RD, HERRIN, IL 62948-3552
(618) 498-0190
(618) 417-6049
Mailing address
412 FARRIS ST, CARTERVILLE, IL 62918-1177
(618) 713-7685
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
IL
101YM0800X
Mental Health Counselor
Primary
—
IL
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/24/2023
Last updated
04/14/2025
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