Kelley, Beverly Jo

Kelley, Beverly Jo is an individual health care provider with primary practice located at 6 Hospital Plz , Clarksburg WV 26301-9316. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Kelley, Beverly Jo can be contacted via phone (304) 623-5661.

Contact Information

Primary practice address
6 Hospital Plz Clarksburg WV 26301-9316
Phone: (304) 623-5661
Fax: (304) 623-2180
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1789 West Virginia
Behavioral Health & Social Service Providers / Social Worker 104100000X AP00939667 West Virginia

Profile Details

NPI number 1750492799
LBN Legal business name Kelley, Beverly Jo
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 19 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 1750492799 NPPES
West Virginia Other WV39667 THP

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