Individual
MS. LISA L KRYSTOSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8135 MANCHESTER RD, SAINT LOUIS, MO 63144-2821
(314) 779-4550
Mailing address
925 WESTMINSTER ABBY LN APT 301, FENTON, MO 63026-7708
(314) 779-4550
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012037167
MO
Other
Enumeration date
01/07/2013
Last updated
09/28/2022
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