Johnson, Kelly
Johnson, Kelly is an individual health care provider with primary practice located at 18205 N 51St Ave Ste 109 , Glendale AZ 85308-1491. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Kelly can be contacted via phone (623) 396-6216.Contact Information
Primary practice address
18205 N 51St Ave Ste 109
Glendale AZ 85308-1491
Phone: (623) 396-6216
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 19423 | Arizona |
Profile Details
| NPI number | 1942573621 |
|---|---|
| LBN Legal business name | Johnson, Kelly |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2012 |
| Last updated | Jun 12th, 2022 - about 4 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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