Individual
KRYSTYN M GUNTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2100
Mailing address
3403 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
149017582
IL
1041C0700X
Clinical Social Worker
Primary
34010432A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149017582
ILLINOIS LIC
IL
05
—
300082132
—
IN
Enumeration date
06/08/2016
Last updated
05/03/2024
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