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Individual

CRYSTAL SUETHOLZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
688 BRANDTLY RIDGE DR, COVINGTON, KY 41015-4228
(596) 094-4548
Mailing address
688 BRANDTLY RIDGE DR, COVINGTON, KY 41015-4228
(859) 609-4454

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
174800
KY
101YM0800X
Mental Health Counselor
C7434
OR
101YM0800X
Mental Health Counselor
CC6925
ME
101YM0800X
Mental Health Counselor
E.1000088
OH
101YP2500X
Professional Counselor
Primary
174800
KY
101YP2500X
Professional Counselor
C7434
OR
101YP2500X
Professional Counselor
CC6925
ME
101YP2500X
Professional Counselor
E.1000088
OH

Other

Enumeration date
09/15/2010
Last updated
11/05/2025
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