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Individual
KRYSTAL KELLY
Active
Individual
KRYSTAL KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
004885
CT
101YM0800X
Mental Health Counselor
004885
CT
101YP2500X
Professional Counselor
Primary
004885
CT
Other
Enumeration date
11/06/2021
Last updated
07/03/2026
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