Colella, Kristen

Colella, Kristen is an individual health care provider with primary practice located at 12557 Ravenwood Dr , Chardon OH 44024-9009. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Colella, Kristen can be contacted via phone (440) 285-3568.

Contact Information

Primary practice address
12557 Ravenwood Dr Chardon OH 44024-9009
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.1600658-SUPV Ohio

Profile Details

NPI number 1720534506
LBN Legal business name Colella, Kristen
Credentials LISW-S
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2016
Last updated Sep 18th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720534506 NPPES
Ohio MEDICAID 0197119

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