Kelly, Marissa Ann
Kelly, Marissa Ann is an sole proprietor health care provider with primary practice located at 2702 Graceland Rd , New Castle PA 16105-2344. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Kelly, Marissa Ann can be contacted via phone (724) 657-4960.Contact Information
Primary practice address
2702 Graceland Rd
New Castle PA 16105-2344
Phone: (724) 657-4960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC011203 | Pennsylvania |
Profile Details
| NPI number | 1053951608 |
|---|---|
| LBN Legal business name | Kelly, Marissa Ann |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2020 |
| Last updated | Apr 22nd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053951608 | NPPES |
| Pennsylvania | Other | PC011203 | PROFESSIONAL COUNSELOR |
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