Individual provider · Type 1 NPI

James Kellerman, M.H.P.

Mental Health Counselor · Mount Vernon, IL

NPI number 1184978413 Active

Practice location

16342 N Il Hwy 37
Mount Vernon, IL 62864-0054

Fax (618) 242-0958

Mailing address

PO Box 428
Mount Vernon, IL 62864-0054

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1184978413

James Kellerman, M.H.P.'s National Provider Identifier is 1184978413, issued on Nov 8, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mount Vernon, IL. The record was last updated on Nov 8, 2012.