Doctor Name: | VIKTORIA KRELL |
NPI Number: | 1154790616 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCA |
License Number: | LPCCCA00218853 |
Business Practice Address: | 3020 Old Lebanon Road Campbellsville, KY - 42718 |
Business Phone Number: | 2704657424 |
Business Fax Number: | 2704657993 |
Mailing Address: | 130 Southern School Road, SOMERSET |
State: | KY |
Postal Code: | 425013223 |
Phone Number: | 6066794782 |
Fax Number: | 6066771746 |
NPI Enumeration Date: | 09/15/2015 |
NPI Last Update Date: | 09/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPCCCA00218853 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |