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
Fax:
Website:

Health care specialties

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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