Joseph B Kelly is a Counselor in Traverse City, Michigan. Joseph B Kelly practices all healthcare services and medical treatments related to Counselor. The NPI Number for Joseph B Kelly is 1093871717. The last update date is 2009-06-09.
Joseph B Kelly's current location address is 3600 Veterans Dr, Traverse City, Michigan. You can contact this provider via phone number 2319334009 and fax number 2319334032. The mailing address for Joseph B Kelly is 3600 Veterans Dr, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph B Kelly |
|---|---|
| Address | 3600 Veterans Dr, Traverse City, Michigan |
| Phone Number | 2319334009 |
| Fax Number | 2319334032 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1093871717 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2009-06-09 |
Provider Mailing Address Detail
| Address | 3600 Veterans Dr |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496844582 |
| Phone Number | 2319334009 |
| Fax Number | 2319334032 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 6401005316 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the Joseph B Kelly's 1093871717?
The Joseph B Kelly's NPI (National Provider Identifier) Number is 1093871717. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Joseph B Kelly's physical address?
The Joseph B Kelly is physically located at 3600 Veterans Dr, in the city of Traverse City, MI, with the postal code 496844582.
What is the Joseph B Kelly's specialty and taxonomy code?
The Joseph B Kelly's specialty is Counselor, and the corresponding taxonomy code is 101Y00000X.
On what date did the Joseph B Kelly receive its 1093871717 assignment from the Centers for Medicare & Medicaid Services?
The Joseph B Kelly was assigned its 1093871717 by the Centers for Medicare & Medicaid Services on 2006-12-28.
As of what date were the Joseph B Kelly's details last updated?
The information pertaining to the Joseph B Kelly, including its address, specialty, and other details, was most recently updated on 2009-06-09.
NPI Number: 1306849500
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