Wunderle, Kelsey

Wunderle, Kelsey is an individual health care provider with primary practice located at 11175 San Pablo Ave , El Cerrito CA 94530-2157. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Wunderle, Kelsey can be contacted via phone (510) 559-5550.

Contact Information

Primary practice address
11175 San Pablo Ave El Cerrito CA 94530-2157
Phone: (510) 559-5550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X California

Profile Details

NPI number 1386205862
LBN Legal business name Wunderle, Kelsey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2019
Last updated Sep 13th, 2019 - about 7 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 1386205862 NPPES
California Other 96737631G06358 MEDI-CAL

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