Kelly, Suzanne Maxine

Kelly, Suzanne Maxine is an sole proprietor health care provider with primary practice located at 2520 Coon Rapids Blvd Nw Ste 260 , Coon Rapids MN 55433-3908. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Kelly, Suzanne Maxine can be contacted via phone (763) 576-0728.

Contact Information

Primary practice address
2520 Coon Rapids Blvd Nw Ste 260 Coon Rapids MN 55433-3908
Phone: (763) 576-0728
Fax: (763) 560-7453
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1121 Minnesota

Profile Details

NPI number 1801977863
LBN Legal business name Kelly, Suzanne Maxine
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Jul 8th, 2007 - about 17 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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