Dominici, Kelly Rae

Dominici, Kelly Rae is an individual health care provider with primary practice located at 1601 E Fourth Plain Blvd # V3-Satp , Vancouver WA 98661-3753. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Dominici, Kelly Rae can be contacted via phone (503) 237-5296.

Contact Information

Primary practice address
1601 E Fourth Plain Blvd # V3-Satp Vancouver WA 98661-3753
Phone: (503) 237-5296
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1841386059
LBN Legal business name Dominici, Kelly Rae
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Dec 20th, 2022 - about 2 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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