Kelley, Suzanne

Kelley, Suzanne is an individual health care provider with primary practice located at 950 N 4Th St , Longview TX 75601-5436. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Kelley, Suzanne can be contacted via phone (903) 758-0596.

Contact Information

Primary practice address
950 N 4Th St Longview TX 75601-5436
Phone: (903) 758-0596
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 8996 Texas

Profile Details

NPI number 1508135138
LBN Legal business name Kelley, Suzanne
Credentials LCDC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2011
Last updated Dec 28th, 2011 - about 15 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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