Canada, Kelli D

Canada, Kelli D is an individual health care provider with primary practice located at 911 Remington Rd Ste B , Mattoon IL 61938-4210. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Canada, Kelli D can be contacted via phone (217) 234-3091.

Contact Information

Primary practice address
911 Remington Rd Ste B Mattoon IL 61938-4210
Phone: (217) 234-3091
Fax: (217) 543-2548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149019506 Illinois

Profile Details

NPI number 1336664705
LBN Legal business name Canada, Kelli D
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2017
Last updated Jul 21st, 2022 - 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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