Individual provider · Type 1 NPI

Krystal Kelly, LPC

Professional Counselor · Bloomfield, CT

NPI number 1821753658 Active

Practice location

1 Regency Dr Ste 101
Bloomfield, CT 06002-2310

Call (860) 905-4776 Map

Mailing address

27 Holmes Dr
Windsor, CT 06095-3969

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X004885 (CT)
Mental Health Counselor 101YM0800X004885 (CT)
Professional Counselor Primary 101YP2500X004885 (CT)

Professional Counselor: Definition to come...

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About NPI 1821753658

Krystal Kelly, LPC's National Provider Identifier is 1821753658, issued on Nov 6, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bloomfield, CT. The record was last updated on Jul 3, 2026.