Kelly, Theresa

Kelly, Theresa is an sole proprietor health care provider with primary practice located at 4919 W Catalpa Ave , Chicago IL 60630-1514. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Kelly, Theresa can be contacted via phone (773) 562-6230.

Contact Information

Primary practice address
4919 W Catalpa Ave Chicago IL 60630-1514
Phone: (773) 562-6230
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 178006846 Illinois
Behavioral Health & Social Service Providers / Counselor 101Y00000X 180009878 Illinois

Profile Details

NPI number 1548639891
LBN Legal business name Kelly, Theresa
Credentials M.A.,LPC,LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2015
Last updated Mar 30th, 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.

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