Individual
CRYSTAL LYNN MCCOLLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
12948 COLDWATER RD STE 101, FORT WAYNE, IN 46845-8016
(260) 373-0880
(260) 373-0881
Mailing address
12948 COLDWATER RD STE 101, FORT WAYNE, IN 46845-8016
(260) 373-0880
(260) 373-0881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99119702A
IN
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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