Individual
KELLY CRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
185 HOSPITAL LN, TERRE HAUTE, IN 47802-4247
(812) 243-9954
Mailing address
185 HOSPITAL LN, TERRE HAUTE, IN 47802-4247
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
33013370A
IN
Other
Enumeration date
10/06/2025
Last updated
10/13/2025
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