Kelley, Jessica

Kelley, Jessica is an individual health care provider with primary practice located at 200 Beatty St , Medford OR 97501-5811. 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. Kelley, Jessica can be contacted via phone (541) 476-2373.

Contact Information

Primary practice address
200 Beatty St Medford OR 97501-5811
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T2393 Oregon

Profile Details

NPI number 1063875185
LBN Legal business name Kelley, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2016
Last updated Feb 7th, 2024 - about 2 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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