Kelly, Brandi Lynn

Kelly, Brandi Lynn is an sole proprietor health care provider with primary practice located at 1404 N 5Th St , Vandalia IL 62471-1039. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelly, Brandi Lynn can be contacted via phone (618) 283-2883.

Contact Information

Primary practice address
1404 N 5Th St Vandalia IL 62471-1039
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1518159821
LBN Legal business name Kelly, Brandi Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2007
Last updated Aug 10th, 2007 - about 16 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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