Green, Kelsey

Green, Kelsey is an individual health care provider with primary practice located at 180 Via Verde Ste 200 , San Dimas CA 91773-3993. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Green, Kelsey can be contacted via phone (909) 599-1227.

Contact Information

Primary practice address
180 Via Verde Ste 200 San Dimas CA 91773-3993
Phone: (909) 599-1227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 121979 California

Profile Details

NPI number 1831738335
LBN Legal business name Green, Kelsey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2019
Last updated Apr 19th, 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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