Hines, Kelly M
Hines, Kelly M is an individual health care provider with primary practice located at 3800 Coolidge Ave , Oakland CA 94602-3311. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Hines, Kelly M can be contacted via phone (510) 482-2244.Contact Information
Primary practice address
3800 Coolidge Ave
Oakland CA 94602-3311
Phone: (510) 482-2244
Fax: (510) 488-1960
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 59429 | California |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6401012104 | Michigan |
Profile Details
NPI number | 1992904494 |
---|---|
LBN Legal business name | Hines, Kelly M |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 13th, 2007 |
Last updated | Aug 15th, 2014 - about 10 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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