Kent, Teresa Ann

Kent, Teresa Ann is an individual health care provider with primary practice located at 405 W Jackson St , Carbondale IL 62901-1462. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kent, Teresa Ann can be contacted via phone (618) 457-3024.

Contact Information

Primary practice address
405 W Jackson St Carbondale IL 62901-1462
Phone: (618) 457-3024
Fax: (618) 985-1318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149001546 Illinois

Profile Details

NPI number 1952651846
LBN Legal business name Kent, Teresa Ann
Credentials LCSW, ACSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2012
Last updated Jan 5th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952651846 NPPES
Illinois Other 149001546 STATE OF ILLINOIS
Illinois Other 214881 STATE OF ILLINOIS

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