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Krystal Distinction Kelly
Mental Health Counselor in Clinton, Louisiana
NPI 1669909099

Krystal Distinction Kelly is a Mental Health Counselor based in Clinton, LA and is specialized in Mental Health. Krystal Distinction Kelly practices in Clinton, LA. The NPI Number for Krystal Distinction Kelly is 1669909099 and holds a License No. (Louisiana).

The current practice location address for Krystal Distinction Kelly is 10105 Plank Rd Ste A, Clinton, LA and can be reached out via phone at 225-244-7026 and via fax at 225-244-7028.

Location: 10105 Plank Rd Ste A, Clinton, LA, 70722-3707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669909099
Provider Name
Krystal Distinction Kelly
Credential
Provider Entity Type
Individual
Gender
Female
Address
10105 Plank Rd Ste A, Clinton, LA, 70722-3707
Phone Number
225-244-7026
Fax Number
225-244-7028
Provider Enumeration Date
05/16/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10105 Plank Rd Ste A
City
Clinton
State
Louisiana
Zip
70722-3707
Phone Number
225-244-7026
Fax Number
225-244-7028
person
Provider Business Mailing Address Details
Address
10105 Plank Rd Ste A
City
Clinton
State
Louisiana
Zip
70722-3707
Phone Number
225-244-7026
Fax Number
225-244-7028
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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