Provider Information for 1578636015
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Mrs. KRISTA DELANEY MCKELVIN LPC
Sex: Female
NPI: 1578636015
Last Updated: 2019-05-24
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1578636015 | ||||||||||||
| Enumeration Date | 2006-11-15 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 175 E HAWTHORN PKWY STE 235 VERNON HILLS, IL 60061-1454 United States Phone: 847-737-8768 | Fax:847-859-5885 | ||||||||||||
| Primary Practice Address | 11551 FOREST CENTRAL DR STE 202 DALLAS, TX 75243-3919 United States Phone: 817-751-7802 | Fax:847-859-5885 | ||||||||||||
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