Kelley, Roberta

Kelley, Roberta is an individual health care provider with primary practice located at 1139 Burnquist St , Saint Paul MN 55106-2804. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Kelley, Roberta can be contacted via phone (612) 296-3456.

Contact Information

Primary practice address
1139 Burnquist St Saint Paul MN 55106-2804
Phone: (612) 296-3456
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 305002 Minnesota
Behavioral Health & Social Service Providers / Counselor 101Y00000X 4461 Minnesota

Profile Details

NPI number 1538831987
LBN Legal business name Kelley, Roberta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2021
Last updated Apr 8th, 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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