Individual provider · Type 1 NPI

Barry Dean Kellem, CBHCM

Addiction (Substance Use Disorder) Counselor · Jacksonville, FL

NPI number 1780435669 Active

Practice location

902 Ashton Cove Ter
Jacksonville, FL 32218-6126

Call (561) 713-4766 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1780435669

Barry Dean Kellem, CBHCM's National Provider Identifier is 1780435669, issued on Mar 29, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 29, 2024.