Individual
CRYSTAL CASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3109 KESSLER BLVD NORTH DR, INDIANAPOLIS, IN 46222-1926
(312) 373-0152
Mailing address
2770 MAIN ST STE 119, FRISCO, TX 75033-4336
(317) 518-4405
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33009801A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497446132
ESSENTIAL COUNSELING GROUP INDIANA
IN
Enumeration date
10/03/2023
Last updated
10/03/2023
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