Organization
KRYSALIS THERAPY, LICENSED PROFESSIONAL CLINICAL COUNSELOR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSHIN KADUTHANATHU ABRAHAM LPCC, LAADC (PRESIDENT)
(669) 244-2329
Entity
Organization
Contact information
Practice address
3589 JAYDEE CT, LILBURN, GA 30047-6909
(669) 244-2329
Mailing address
1111 6TH AVE STE 550, SAN DIEGO, CA 92101-5211
(669) 244-2329
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/20/2026
Last updated
02/23/2026
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