Ellen, Kim

Ellen, Kim is an individual health care provider with primary practice located at 615 Shipyard Blvd , Wilmington NC 28412-6431. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Ellen, Kim can be contacted via phone (910) 343-0145.

Contact Information

Primary practice address
615 Shipyard Blvd Wilmington NC 28412-6431
Phone: (910) 343-0145
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401009255 Michigan
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 7567 North Carolina

Profile Details

NPI number 1205025079
LBN Legal business name Ellen, Kim
Credentials M.A., L.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2007
Last updated Dec 16th, 2009 - about 15 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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