Burden, Kelly Marie

Burden, Kelly Marie is an individual health care provider with primary practice located at 222 S Elizabeth St , Lima OH 45801-4804. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Burden, Kelly Marie can be contacted via phone (419) 308-1119.

Contact Information

Primary practice address
222 S Elizabeth St Lima OH 45801-4804
Phone: (419) 308-1119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 031041 Ohio

Profile Details

NPI number 1265789952
LBN Legal business name Burden, Kelly Marie
Credentials MSCJ, LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2012
Last updated Aug 13th, 2012 - about 13 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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