Carson, Kelli M

Carson, Kelli M is an individual health care provider with primary practice located at 327 1St Ave Nw , Hickory NC 28601-6122. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Carson, Kelli M can be contacted via phone (828) 695-5900.

Contact Information

Primary practice address
327 1St Ave Nw Hickory NC 28601-6122
Phone: (828) 695-5900
Fax: (828) 695-4256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5558 North Carolina

Profile Details

NPI number 1437213774
LBN Legal business name Carson, Kelli M
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 13th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437213774 NPPES
North Carolina Other 1437213774 TRICARE/HEALTH NET FEDERAL SVS
North Carolina Other 197381 TRICARE/HEALTH NET FEDERAL SVS
North Carolina MEDICAID 6103452 TRICARE/HEALTH NET FEDERAL SVS
North Carolina Other 14533 TRICARE/HEALTH NET FEDERAL SVS
North Carolina Other 600075-131 TRICARE/HEALTH NET FEDERAL SVS

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