Individual
MS. KRYSTL N WHITE-HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
500 RIVER PLACE DR, 5121, DETROIT, MI 48207-5030
(313) 578-1803
Mailing address
500 RIVER PLACE DR, 5121, DETROIT, MI 48207-5030
(313) 578-1803
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
005601
GA
101YP2500X
Professional Counselor
Primary
6401012314
MI
101YP2500X
Professional Counselor
APC001807
GA
Other
Enumeration date
04/08/2008
Last updated
02/27/2013
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