Kelly, Kim Erin
Kelly, Kim Erin is an sole proprietor health care provider with primary practice located at 333 S Juniper St #115, Escondido CA 92025-4924. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Kelly, Kim Erin can be contacted via phone (760) 420-5439.Contact Information
Primary practice address
333 S Juniper St #115
Escondido CA 92025-4924
Phone: (760) 420-5439
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4067 | New Mexico |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC48966 | California |
Profile Details
NPI number | 1740380633 |
---|---|
LBN Legal business name | Kelly, Kim Erin |
Credentials | MA, LMFT, LPAT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 22nd, 2006 |
Last updated | Oct 6th, 2016 - about 9 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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