Kingsbury, Shelley Beth
Kingsbury, Shelley Beth is an sole proprietor health care provider with primary practice located at 1101 Noank Ledyard Rd # 12 , Mystic CT 06355-1361. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kingsbury, Shelley Beth can be contacted via phone (860) 861-8393.Contact Information
Primary practice address
1101 Noank Ledyard Rd # 12
Mystic CT 06355-1361
Phone: (860) 861-8393
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 010666 | Connecticut |
Profile Details
| NPI number | 1104462654 |
|---|---|
| LBN Legal business name | Kingsbury, Shelley Beth |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2019 |
| Last updated | Aug 26th, 2021 - about 4 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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