Hake, Kelly

Hake, Kelly is an individual health care provider with primary practice located at 58471 29 Palms Hwy Ste 102 , Yucca Valley CA 92284-5818. 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. Hake, Kelly can be contacted via phone (760) 853-4888.

Contact Information

Primary practice address
58471 29 Palms Hwy Ste 102 Yucca Valley CA 92284-5818
Phone: (760) 853-4888
Fax: (760) 418-2201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 109558 California

Profile Details

NPI number 1568938694
LBN Legal business name Hake, Kelly
Credentials MSED
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2018
Last updated Oct 5th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568938694 NPPES
California Other 109558 BBS
California Other 109558 BBS

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