Organization · Type 2 NPI

Kellumenterprisess

Mental Health Counselor · Mount Vernon, NY

NPI number 1407740632 Active

Practice location

109 E 4th St Apt 1C
Mount Vernon, NY 10550-4274

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed

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About NPI 1407740632

Kellumenterprisess's National Provider Identifier is 1407740632, issued on Jun 4, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mount Vernon, NY. The record was last updated on Jun 4, 2025.