Johnsen, Kellie

Johnsen, Kellie is an sole proprietor health care provider with primary practice located at 970 N Kalaheo Ave Ste A212 , Kailua HI 96734-1857. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Johnsen, Kellie can be contacted via phone (808) 753-3329.

Contact Information

Primary practice address
970 N Kalaheo Ave Ste A212 Kailua HI 96734-1857
Phone: (808) 753-3329
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X HI-731 Hawaii
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT-731 Hawaii

Profile Details

NPI number 1164921615
LBN Legal business name Johnsen, Kellie
Credentials LMFT, CST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2018
Last updated Nov 16th, 2022 - about 3 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 1164921615 NPPES
Hawaii MEDICAID 1164921615

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