Kelly, Louise
Kelly, Louise is an sole proprietor health care provider with primary practice located at 7933 Bittern Ct Se , Olympia WA 98513-5504. 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, Louise can be contacted via phone (360) 359-2473.Contact Information
Primary practice address
7933 Bittern Ct Se
Olympia WA 98513-5504
Phone: (360) 359-2473
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | RC00009168 | Washington |
Profile Details
| NPI number | 1851450621 |
|---|---|
| LBN Legal business name | Kelly, Louise |
| Credentials | LMHC, CDP, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Aug 13th, 2013 - about 11 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 | 1851450621 | NPPES |
| Washington | Other | LH00008542 | LMHC |
| Washington | Other | CDP | LMHC |
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