Garrison, Kelly J.

Garrison, Kelly J. is an individual health care provider with primary practice located at 7 Prospect St , Caribou ME 04736-2456. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Garrison, Kelly J. can be contacted via phone (207) 492-1000.

Contact Information

Primary practice address
7 Prospect St Caribou ME 04736-2456
Phone: (207) 492-1000
Fax: (207) 492-1006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Maine

Profile Details

NPI number 1952696072
LBN Legal business name Garrison, Kelly J.
Credentials OQMHP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2011
Last updated May 29th, 2013 - about 11 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 1952696072 NPPES
Maine MEDICAID 103850000

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