Fortin, Kelly

Fortin, Kelly is an individual health care provider with primary practice located at 530 Middlebury Rd Suite 213B, Middlebury CT 06762-2500. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Fortin, Kelly can be contacted via phone (203) 518-9574.

Contact Information

Primary practice address
530 Middlebury Rd Suite 213B Middlebury CT 06762-2500
Phone: (203) 518-9574
Fax: (203) 490-4242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 2783 Connecticut

Profile Details

NPI number 1740526672
LBN Legal business name Fortin, Kelly
Credentials MSHS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2012
Last updated Jul 22nd, 2015 - about 9 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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