Jones, Kelly Delayne
Jones, Kelly Delayne is an sole proprietor health care provider with primary practice located at 2310 N Patterson St Suite G, Valdosta GA 31602-2568. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jones, Kelly Delayne can be contacted via phone (229) 244-9688.Contact Information
Primary practice address
2310 N Patterson St Suite G
Valdosta GA 31602-2568
Phone: (229) 244-9688
Fax: (229) 244-5354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW004320 | Georgia |
Profile Details
| NPI number | 1023275757 |
|---|---|
| LBN Legal business name | Jones, Kelly Delayne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2008 |
| Last updated | Apr 25th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023275757 | NPPES |
| Georgia | MEDICAID | 510380328A |
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