Fitzgerald, Kelly Irene

Fitzgerald, Kelly Irene is an individual health care provider with primary practice located at 2178 Johnson Ave , San Luis Obispo CA 93401-4535. 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. Fitzgerald, Kelly Irene can be contacted via phone (805) 781-4700.

Contact Information

Primary practice address
2178 Johnson Ave San Luis Obispo CA 93401-4535
Phone: (805) 781-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 90724 California

Profile Details

NPI number 1417201641
LBN Legal business name Fitzgerald, Kelly Irene
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2012
Last updated Jul 22nd, 2025 - about last year

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.

Request for update

Popular Providers