Individual
CRYSTAL KUYKENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
259 W MAIN ST, DECATURVILLE, TN 38329-8033
(731) 852-3112
(731) 852-3222
Mailing address
10710 OLD HIGHWAY 64, BOLIVAR, TN 38008-3587
(731) 658-6115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC6454
TN
101YP2500X
Professional Counselor
6454
TN
Other
Enumeration date
04/11/2024
Last updated
10/16/2025
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