Kelly, Colleen M

Kelly, Colleen M is an sole proprietor health care provider with primary practice located at 1911 Williams Dr Suite 140, Oxnard CA 93036-2612. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Kelly, Colleen M can be contacted via phone (805) 981-9250.

Contact Information

Primary practice address
1911 Williams Dr Suite 140 Oxnard CA 93036-2612
Phone: (805) 981-9250
Fax: (805) 981-9251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RI-K0509201000 California

Profile Details

NPI number 1750408787
LBN Legal business name Kelly, Colleen M
Credentials C.A.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2007
Last updated Jul 8th, 2007 - about 18 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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