Gustavson, Kelli

Gustavson, Kelli is an individual health care provider with primary practice located at 1491 Main St , Willimantic CT 06226-1914. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gustavson, Kelli can be contacted via phone (860) 456-3215.

Contact Information

Primary practice address
1491 Main St Willimantic CT 06226-1914
Phone: (860) 456-3215
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1326396441
LBN Legal business name Gustavson, Kelli
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2012
Last updated Aug 21st, 2012 - about 14 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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