Individual
KRISTY RHYAN CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRSS-SUD
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1101
(304) 831-1584
Mailing address
1 WASHINGTON AVE STE 300, LOGAN, WV 25601-3966
(304) 792-8689
(304) 744-8606
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
24-9177
WV
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
12/04/2020
Last updated
06/12/2025
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