Avenson, Kimberly Jean Sletta

Avenson, Kimberly Jean Sletta is an sole proprietor health care provider with primary practice located at 722 15Th Street N.W. , Bemidji MN 56619-0640. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Avenson, Kimberly Jean Sletta can be contacted via phone (218) 751-3280.

Contact Information

Primary practice address
722 15Th Street N.W. Bemidji MN 56619-0640
Phone: (218) 751-3280
Fax: (218) 751-3298
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 15400 Minnesota

Profile Details

NPI number 1154422012
LBN Legal business name Avenson, Kimberly Jean Sletta
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Dec 13th, 2019 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154422012 NPPES
Minnesota MEDICAID 153485800

Popular Providers