| Doctor Name: | KRYSTELLE JEAN-MICHEL |
| NPI Number: | 1437491545 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 331 Sijen Ave Whiteman Afb, MO - 653051269 |
| Business Phone Number: | 6606874099 |
| Business Fax Number: | |
| Mailing Address: | 331 Sijen Ave, WHITEMAN AFB |
| State: | MO |
| Postal Code: | 653051269 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/27/2013 |
| NPI Last Update Date: | 09/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |