Foster, Kelly Charice
Foster, Kelly Charice is an sole proprietor health care provider with primary practice located at 6276 Jackson Rd Ste D , Ann Arbor MI 48103-9579. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Foster, Kelly Charice can be contacted via phone (734) 956-0051.Contact Information
Primary practice address
6276 Jackson Rd Ste D
Ann Arbor MI 48103-9579
Phone: (734) 956-0051
Fax: (888) 976-6019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6401019071 | Michigan |
Profile Details
| NPI number | 1912300666 |
|---|---|
| LBN Legal business name | Foster, Kelly Charice |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 8th, 2014 |
| Last updated | Mar 15th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912300666 | NPPES |
| Michigan | MEDICAID | 1912300666 |
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