Individual
KRYSTAL JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 WEBSTER ST APT B15, HARTFORD, CT 06114-1223
(917) 771-8346
Mailing address
45 WEBSTER ST APT B15, HARTFORD, CT 06114-1223
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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