Jamison, Kellie
Jamison, Kellie is an individual health care provider with primary practice located at 10401 Hospital Dr Suite G-03, Clinton MD 20735-3110. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jamison, Kellie can be contacted via phone (301) 856-6000.Contact Information
Primary practice address
10401 Hospital Dr Suite G-03
Clinton MD 20735-3110
Phone: (301) 856-6000
Fax: (301) 856-8398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 10425 | Maryland |
Profile Details
| NPI number | 1083653968 |
|---|---|
| LBN Legal business name | Jamison, Kellie |
| Credentials | LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Dec 18th, 2014 - about 12 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 | 1083653968 | NPPES |
| Maryland | Other | 10425 | STATE LICENSE |
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