Edmond, Kalovna Ketsia
Edmond, Kalovna Ketsia is an sole proprietor health care provider with primary practice located at 326 Sea Cliff St , Islip Terrace NY 11752-1109. 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. Edmond, Kalovna Ketsia can be contacted via phone (631) 309-6831.Contact Information
Primary practice address
326 Sea Cliff St
Islip Terrace NY 11752-1109
Phone: (631) 309-6831
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | P126365 | New York |
Profile Details
| NPI number | 1760225924 |
|---|---|
| LBN Legal business name | Edmond, Kalovna Ketsia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2024 |
| Last updated | Jun 17th, 2024 - about 2 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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