Individual
KRYSTLE JANINE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10J TOWNHOUSE RD, BROAD BROOK, CT 06016-9698
(860) 222-0957
Mailing address
14 HAZARD AVE STE 23, ENFIELD, CT 06082-3713
(860) 222-0957
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6816
CT
Other
Enumeration date
06/18/2015
Last updated
10/06/2023
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