Acosta, Krysellys A

Acosta, Krysellys A is an individual health care provider with primary practice located at 10204 Bode St Ste B , Plainfield IL 60585-9813. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Acosta, Krysellys A can be contacted via phone (774) 334-4808.

Contact Information

Primary practice address
10204 Bode St Ste B Plainfield IL 60585-9813
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 122229101 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 225832 Massachusetts

Profile Details

NPI number 1992214563
LBN Legal business name Acosta, Krysellys A
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2017
Last updated Nov 19th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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