| NPI | 1265740054 |
|---|---|
| Former Name | CRYSTAL SUETHOLZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 174800) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 174800) |
| 101YM0800X Counselor, Mental Health (Licence: ME CC6925) | |
| 101YM0800X Counselor, Mental Health (Licence: OH E.1000088) | |
| 101YM0800X Counselor, Mental Health (Licence: OR C7434) | |
| 101YP2500X Counselor, Professional (Licence: OH E.1000088) | |
| 101YP2500X Counselor, Professional (Licence: OR C7434) | |
| 101YP2500X Counselor, Professional (Licence: ME CC6925) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2026-08-05 |