Krystal Lyle Lumpkin

NPI #1396131199 in Woodstock, Georgia

Provider Information

NPI Number: 1396131199
Entity Type: Individual
Name: Krystal Lyle Lumpkin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 9, 2015
Last Updated: Apr 9, 2015

Practice Location

Address: 9876 MAIN ST STE 100
City: Woodstock
State: Georgia
ZIP Code: 30188-3990
Phone: (770) 516-1050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Counselor - Professional — Professional	101YP2500X

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