Rettberg, Kelly Ann
Rettberg, Kelly Ann is an individual health care provider with primary practice located at 319 Manor Ln Bldg S , Marlton NJ 08053-4154. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Rettberg, Kelly Ann can be contacted via phone (267) 982-3928.Contact Information
Primary practice address
319 Manor Ln Bldg S
Marlton NJ 08053-4154
Phone: (267) 982-3928
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 37PC00375200 | New Jersey |
Profile Details
| NPI number | 1750526729 |
|---|---|
| LBN Legal business name | Rettberg, Kelly Ann |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2008 |
| Last updated | Aug 2nd, 2023 - about last year |
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 | 1750526729 | NPPES |
| New Jersey | MEDICAID | 4138601 |
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