Individual
KRYSTAL STEPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
725 WALLOWA DR LOT 248, ELGIN, SC 29045-7919
(832) 228-8009
Mailing address
725 WALLOWA DR LOT 248, ELGIN, SC 29045-7919
(832) 228-8009
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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