Individual
KRISTA ANN MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
207 EUSTIS AVE SE STE B, HUNTSVILLE, AL 35801-4275
(256) 541-3877
(256) 541-3877
Mailing address
234 GROVE VILLAGE WAY, MADISON, AL 35758-4503
(256) 541-3877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1982C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51537000
BCBS OF ALABAMA
AL
Enumeration date
01/16/2007
Last updated
07/14/2025
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