Individual
MRS. KRYSTENA L MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, MA, QMHP
Contact information
Practice address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(317) 630-8897
Mailing address
6104 LAKE FREEMAN DR, INDIANAPOLIS, IN 46254-6913
(317) 354-5520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002386A
IN
Other
Enumeration date
08/07/2012
Last updated
12/31/2021
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