Kelstrom, Brad

Kelstrom, Brad is an individual health care provider with primary practice located at 40 W Cache Valley Blvd Ste 10A , Logan UT 84341-8450. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kelstrom, Brad can be contacted via phone (435) 787-2272.

Contact Information

Primary practice address
40 W Cache Valley Blvd Ste 10A Logan UT 84341-8450
Phone: (435) 787-2272
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7731529-3501 Utah

Profile Details

NPI number 1396085486
LBN Legal business name Kelstrom, Brad
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2013
Last updated Feb 26th, 2013 - about 13 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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