Courson, Kelli Michele

Courson, Kelli Michele is an sole proprietor health care provider with primary practice located at 124 Carmen Ln Ste A , Santa Maria CA 93458-7768. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Courson, Kelli Michele can be contacted via phone (805) 348-1850.

Contact Information

Primary practice address
124 Carmen Ln Ste A Santa Maria CA 93458-7768
Phone: (805) 348-1850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC34747 California

Profile Details

NPI number 1568502623
LBN Legal business name Courson, Kelli Michele
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Nov 24th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568502623 NPPES
California Other 1316192149 SANTA MARIA ACT

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