Individual
MRS. KRYSTEN KELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
112 E MYRTLE AVE STE 300, JOHNSON CITY, TN 37601-4644
(423) 461-0015
Mailing address
112 E MYRTLE AVE STE 300, JOHNSON CITY, TN 37601-4644
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7543
TN
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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