Individual
KRYSTAL DELEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
605C FOXGLOVE LN APT 12, WHITEWATER, WI 53190-2669
(608) 473-2093
Mailing address
605C FOXGLOVE LN APT 12, WHITEWATER, WI 53190-2669
(608) 473-2093
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10729-125
WI
101YP2500X
Professional Counselor
Primary
10729-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841648540
—
WI
Enumeration date
06/03/2016
Last updated
12/30/2024
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