Foster, Kelly Charice

Foster, Kelly Charice is an sole proprietor health care provider with primary practice located at 6276 Jackson Rd Ste D , Ann Arbor MI 48103-9579. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Foster, Kelly Charice can be contacted via phone (734) 956-0051.

Contact Information

Primary practice address
6276 Jackson Rd Ste D Ann Arbor MI 48103-9579
Phone: (734) 956-0051
Fax: (888) 976-6019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401019071 Michigan

Profile Details

NPI number 1912300666
LBN Legal business name Foster, Kelly Charice
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2014
Last updated Mar 15th, 2021 - about 4 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 1912300666 NPPES
Michigan MEDICAID 1912300666

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