Kellerman, Chrystal Selene

Kellerman, Chrystal Selene is an individual health care provider with primary practice located at 1720 W 25Th Ave , Eugene OR 97405-1663. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kellerman, Chrystal Selene can be contacted via phone (541) 343-9706.

Contact Information

Primary practice address
1720 W 25Th Ave Eugene OR 97405-1663
Phone: (541) 343-9706
Fax: (541) 683-3748
Website:
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Health care specialties

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

Profile Details

NPI number 1336485689
LBN Legal business name Kellerman, Chrystal Selene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2012
Last updated Dec 13th, 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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