Kelly, Shannon Marie
Kelly, Shannon Marie is an individual health care provider with primary practice located at 200 S Wells Rd Ste 250 , Ventura CA 93004-1383. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Kelly, Shannon Marie can be contacted via phone (805) 647-0991.Contact Information
Primary practice address
200 S Wells Rd Ste 250
Ventura CA 93004-1383
Phone: (805) 647-0991
Fax: (805) 647-7163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | LCSW75222 | California |
Profile Details
| NPI number | 1205187788 |
|---|---|
| LBN Legal business name | Kelly, Shannon Marie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2012 |
| Last updated | Mar 7th, 2019 - about 7 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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