Worsham, Kellishia T

Worsham, Kellishia T is an sole proprietor health care provider with primary practice located at 222 N Mountain Ave , Upland CA 91786. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Worsham, Kellishia T can be contacted via phone (909) 727-0398.

Contact Information

Primary practice address
222 N Mountain Ave Upland CA 91786
Phone: (909) 727-0398
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X California
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1275918146
LBN Legal business name Worsham, Kellishia T
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2015
Last updated Jun 7th, 2024 - about 6 months 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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