Individual provider · Type 1 NPI

Crystal Gholston

Mental Health Counselor · Tunica, MS

NPI number 1750178794 Active

Practice location

1459 Main St
Tunica, MS 38676

Fax (662) 363-4749

Mailing address

831 Amanda Cv
Hernando, MS 38632-1333

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1750178794

Crystal Gholston's National Provider Identifier is 1750178794, issued on Apr 23, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tunica, MS. The record was last updated on Apr 23, 2025.