Kelly-Jackels, Christina Marie
Kelly-Jackels, Christina Marie is an individual health care provider with primary practice located at 8455 Flying Cloud Dr , Eden Prairie MN 55344-3974. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelly-Jackels, Christina Marie can be contacted via phone (952) 993-7400.Contact Information
Primary practice address
8455 Flying Cloud Dr
Eden Prairie MN 55344-3974
Phone: (952) 993-7400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 18535 | Minnesota |
Profile Details
| NPI number | 1598096885 |
|---|---|
| LBN Legal business name | Kelly-Jackels, Christina Marie |
| Credentials | MSW, LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2010 |
| Last updated | May 3rd, 2019 - about 5 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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