Dobson, Kelsi Lynn

Dobson, Kelsi Lynn is an individual health care provider with primary practice located at 1600 W Walnut St , Jacksonville IL 62650-1136. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dobson, Kelsi Lynn can be contacted via phone (217) 245-9541.

Contact Information

Primary practice address
1600 W Walnut St Jacksonville IL 62650-1136
Phone: (217) 245-9541
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149020183 Illinois

Profile Details

NPI number 1366912040
LBN Legal business name Dobson, Kelsi Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2018
Last updated Nov 26th, 2018 - about 7 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 1366912040 NPPES
Illinois Other 149020183 IL DEPT. OF FINANCIAL & PROFESSIONAL REGULATIONS

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