Individual
CRYSTAL GHOLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1459 MAIN ST, TUNICA, MS 38676
(662) 363-3222
(662) 363-4749
Mailing address
831 AMANDA CV, HERNANDO, MS 38632-1333
(662) 299-4677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MS
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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