Sallie, Kelly A

Sallie, Kelly A is an sole proprietor health care provider with primary practice located at 14 Hilsinger Rd # 240 , Mount Tabor NJ 07878-9226. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Sallie, Kelly A can be contacted via phone (973) 404-0214.

Contact Information

Primary practice address
14 Hilsinger Rd # 240 Mount Tabor NJ 07878-9226
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 37LC00331800 New Jersey
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00331800 New Jersey

Profile Details

NPI number 1386319960
LBN Legal business name Sallie, Kelly A
Credentials LCADC, CPRS, CCTP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2021
Last updated Aug 15th, 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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