Kelley, Kristen
Kelley, Kristen is an individual health care provider with primary practice located at 10180 Se Sunnyside Rd , Clackamas OR 97015-8970. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kelley, Kristen can be contacted via phone (805) 901-0962.Contact Information
Primary practice address
10180 Se Sunnyside Rd
Clackamas OR 97015-8970
Phone: (805) 901-0962
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | A5600 | Oregon |
Profile Details
NPI number | 1376923060 |
---|---|
LBN Legal business name | Kelley, Kristen |
Credentials | CSWA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 8th, 2015 |
Last updated | Dec 24th, 2021 - 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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