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1093151763
KRYSTAL KELLI FETTING
LONGVIEW, TX
NPI
1093151763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-05-21
Last Update Date
2024-02-06
Business Address
KRYSTAL KELLI FETTING LCDC
425 N FREDONIA ST
LONGVIEW, TX 75601-6464
Phone number: 903-758-2610
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Mailing Address
KRYSTAL KELLI FETTING LCDC
1107 E MARSHALL AVE
LONGVIEW, TX 75601-5602
Phone number: 903-758-2610
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