Individual
KRYSTELLE JEAN-MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
559 VINCENT ST BLDG 725, PETERSON AFB, CO 80914-1541
(315) 782-4841
Mailing address
559 VINCENT ST BLDG 725, PETERSON AFB, CO 80914-1541
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
0004834
CO
Other
Enumeration date
03/27/2013
Last updated
04/02/2025
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