Escamilla, Kelley

Escamilla, Kelley is an sole proprietor health care provider with primary practice located at 22994 El Toro Rd Ste 109 , Lake Forest CA 92630-4961. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Escamilla, Kelley can be contacted via phone (714) 886-7366.

Contact Information

Primary practice address
22994 El Toro Rd Ste 109 Lake Forest CA 92630-4961
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 101874 California

Profile Details

NPI number 1003580671
LBN Legal business name Escamilla, Kelley
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2021
Last updated Jul 30th, 2023 - 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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