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Contact Information

MARY A KELLY, MFT, CDE
105 SUNNYSIDE AVE
PIEDMONT, CA94611-4419
 Phone: 510-655-7943
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for MARY A KELLY · (Female)

NPI # 1003036583
Status Active
Credentials MFT, CDE
Entity Individual
Enumeration date 04/26/2007
Last updated 01/27/2016 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # MFC12717
  • CA Other MFC12717 MFCC LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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