Anderson, Kellie Mack
Anderson, Kellie Mack is an individual health care provider with primary practice located at 18302 Irvine Blvd Ste. 300, Tustin CA 92780-3435. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Anderson, Kellie Mack can be contacted via phone (714) 881-8638.Contact Information
Primary practice address
18302 Irvine Blvd Ste. 300
Tustin CA 92780-3435
Phone: (714) 881-8638
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT 4401 | Idaho |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC 47389 | California |
Profile Details
NPI number | 1972637445 |
---|---|
LBN Legal business name | Anderson, Kellie Mack |
Credentials | Marriage and Family Therapist (MFT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 15th, 2007 |
Last updated | Nov 8th, 2013 - about 11 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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