Individual provider · Type 1 NPI
Byron Kellam, LPC
Professional Counselor · Douglasville, GA
NPI number
1679893259
Active
Practice location
3292 Thornecreek Dr
Douglasville, GA 30135-8124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 004651 (GA) |
Professional Counselor: Definition to come...
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About NPI 1679893259
Byron Kellam, LPC's National Provider Identifier is 1679893259, issued on Jun 7, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Douglasville, GA. The record was last updated on Dec 23, 2022.