Individual provider · Type 1 NPI

Jeff Kellar

Mental Health Counselor · Stockton, CA

NPI number 1689097578 Active

Practice location

1212 S California St
Stockton, CA 95206-1429

Call (530) 941-3253 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1689097578

Jeff Kellar's National Provider Identifier is 1689097578, issued on Jan 28, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stockton, CA. The record was last updated on Jan 28, 2014.