Burris, Kelly

Burris, Kelly is an individual health care provider with primary practice located at 657 Camino De Los Mares 241, San Clemente CA 92673. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Burris, Kelly can be contacted via phone (949) 391-8278.

Contact Information

Primary practice address
657 Camino De Los Mares 241 San Clemente CA 92673
Phone: (949) 391-8278
Fax: (949) 391-8278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1679917736
LBN Legal business name Burris, Kelly
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2013
Last updated Mar 17th, 2018 - about 7 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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