Individual
MS. KRYSTON JEAN NOBLE-HARTZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAC
Contact information
Practice address
114 S MAIN ST, GOSHEN, IN 46526-3702
(574) 533-6154
(574) 534-3951
Mailing address
114 S MAIN ST, GOSHEN, IN 46526-3702
(574) 533-6154
(574) 534-3951
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000436A
IN
1041C0700X
Clinical Social Worker
Primary
34005513A
IN
1041C0700X
Clinical Social Worker
6801091039
MI
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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