Kelso, Jeannie N

Kelso, Jeannie N is an sole proprietor health care provider with primary practice located at 1059 Ridgewood Pl , Jackson MS 39211-2018. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kelso, Jeannie N can be contacted via phone (601) 957-3211.

Contact Information

Primary practice address
1059 Ridgewood Pl Jackson MS 39211-2018
Phone: (601) 957-3211
Fax: (601) 957-9753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C7281 Mississippi

Profile Details

NPI number 1225183056
LBN Legal business name Kelso, Jeannie N
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225183056 NPPES
Mississippi MEDICAID PENDING

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