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
Phone: (973) 404-0214
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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