Kelly, Krystal

Kelly, Krystal is an sole proprietor health care provider with primary practice located at 27 Holmes Dr , Windsor CT 06095-3969. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Kelly, Krystal can be contacted via phone (860) 905-4776.

Contact Information

Primary practice address
27 Holmes Dr Windsor CT 06095-3969
Phone: (860) 905-4776
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 004885 Connecticut
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 004885 Connecticut
Behavioral Health & Social Service Providers / Professional 101YP2500X 004885 Connecticut

Profile Details

NPI number 1821753658
LBN Legal business name Kelly, Krystal
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2021
Last updated Jan 4th, 2023 - about 3 years ago

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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