Stafford, Kelly Logan
Stafford, Kelly Logan is an sole proprietor health care provider with primary practice located at 357 Towne Center Pl Suite 402, Ridgeland MS 39157-4870. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Stafford, Kelly Logan can be contacted via phone (601) 573-7908.Contact Information
Primary practice address
357 Towne Center Pl Suite 402
Ridgeland MS 39157-4870
Phone: (601) 573-7908
Fax: (601) 510-9356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1320 | Mississippi |
Profile Details
| NPI number | 1578833521 |
|---|---|
| LBN Legal business name | Stafford, Kelly Logan |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2012 |
| Last updated | Jan 9th, 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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