Individual
KRYSTAL DISTINCTION KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10105 PLANK RD STE A, CLINTON, LA 70722-3707
(225) 244-7026
(225) 244-7028
Mailing address
10105 PLANK RD STE A, CLINTON, LA 70722-3707
(225) 244-7026
(225) 244-7028
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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