Lee, Kelly

Lee, Kelly is an sole proprietor health care provider with primary practice located at 1127 W Main St , Zanesville OH 43701-3147. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lee, Kelly can be contacted via phone (740) 455-1266.

Contact Information

Primary practice address
1127 W Main St Zanesville OH 43701-3147
Phone: (740) 455-1266
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC.161384 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.1600353-SUPV Ohio

Profile Details

NPI number 1972049203
LBN Legal business name Lee, Kelly
Credentials LISW-S, LICDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2017
Last updated Dec 5th, 2018 - about 8 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 1972049203 NPPES
Ohio MEDICAID 0201681

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