Individual
CHRYSTYNA MICHELLE HEAD
Active
Individual
CHRYSTYNA MICHELLE HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
6801098969
MI
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MI5839
—
MI
Enumeration date
01/21/2021
Last updated
01/21/2021
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