| Doctor Name: | KRYSTAL LATRICE ARMSTRONG |
| NPI Number: | 1164845624 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA LPC CADC |
| License Number: | 2-01230 |
| Business Practice Address: | 117 Cass Ave Suite 303 Mount Clemens, MI - 480432252 |
| Business Phone Number: | 5863395744 |
| Business Fax Number: | 5863146375 |
| Mailing Address: | 117 Cass Ave, Suite 303 MOUNT CLEMENS |
| State: | MI |
| Postal Code: | 480432252 |
| Phone Number: | 5863395744 |
| Fax Number: | 5863146375 |
| NPI Enumeration Date: | 02/03/2014 |
| NPI Last Update Date: | 02/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2-01230 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |