| NPI | 1609354851 |
|---|---|
| Other Name | KATIE HANKS MCCRYSTAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 281893) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2024-10-11 |