Jamison, Kellie

Jamison, Kellie is an individual health care provider with primary practice located at 10401 Hospital Dr Suite G-03, Clinton MD 20735-3110. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jamison, Kellie can be contacted via phone (301) 856-6000.

Contact Information

Primary practice address
10401 Hospital Dr Suite G-03 Clinton MD 20735-3110
Fax: (301) 856-8398
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 10425 Maryland

Profile Details

NPI number 1083653968
LBN Legal business name Jamison, Kellie
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Dec 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083653968 NPPES
Maryland Other 10425 STATE LICENSE

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