Individual
KYLE CRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 S 3RD ST, AMES, IA 50010-7042
(515) 233-2250
Mailing address
420 KELLOGG AVE, AMES, IA 50010-6226
(515) 233-3141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T23078
IA
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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