Fox, Kelli Star

Fox, Kelli Star is an sole proprietor health care provider with primary practice located at 4 Demerest St , Portland ME 04103-4329. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fox, Kelli Star can be contacted via phone (207) 831-0304.

Contact Information

Primary practice address
4 Demerest St Portland ME 04103-4329
Phone: (207) 831-0304
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC4378 Maine
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC689 Maine

Profile Details

NPI number 1952369688
LBN Legal business name Fox, Kelli Star
Credentials LCSW LADC CCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2006
Last updated Jun 25th, 2020 - 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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