Madison, Kelsey Ann

Madison, Kelsey Ann is an individual health care provider with primary practice located at 1340 Nw Wall St , Bend OR 97703-1985. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Madison, Kelsey Ann can be contacted via phone (531) 322-7414.

Contact Information

Primary practice address
1340 Nw Wall St Bend OR 97703-1985
Phone: (531) 322-7414
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X C6043 Oregon

Profile Details

NPI number 1275808891
LBN Legal business name Madison, Kelsey Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2012
Last updated Mar 8th, 2024 - about 2 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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