Kelly, Terry

Kelly, Terry is an sole proprietor health care provider with primary practice located at 1716 University Ave S , Fairbanks AK 99709-4904. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Kelly, Terry can be contacted via phone (907) 322-6940.

Contact Information

Primary practice address
1716 University Ave S Fairbanks AK 99709-4904
Phone: (907) 322-6940
Fax: (907) 455-4434
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 488 Alaska

Profile Details

NPI number 1053494898
LBN Legal business name Kelly, Terry
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Jun 27th, 2012 - about 12 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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