person
Blake Jillian Kellum, LCMHCA
Mental Health Counselor in Charlotte, North Carolina
NPI 1215699483

Blake Jillian Kellum is a Mental Health Counselor based in Charlotte, NC and is specialized in Mental Health. Blake Jillian Kellum practices in Charlotte, NC and has the professional credentials of LCMHCA. The NPI Number for Blake Jillian Kellum is 1215699483 and holds a License No. A16773 (North Carolina).

The current practice location address for Blake Jillian Kellum is 6849 Fairview Rd Ste 702, Charlotte, NC and can be reached out via phone at 704-350-5324 and via fax at 980-458-6037.

Location: 6849 Fairview Rd Ste 702, Charlotte, NC, 28210-3393
person
Provider Profile Details
NPI Number
1215699483
Provider Name
Blake Jillian Kellum
Credential
LCMHCA
Provider Entity Type
Individual
Gender
Female
Address
6849 Fairview Rd Ste 702, Charlotte, NC, 28210-3393
Phone Number
704-350-5324
Fax Number
980-458-6037
Provider Enumeration Date
10/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6849 Fairview Rd Ste 702
City
State
Zip
28210-3393
Phone Number
704-350-5324
Fax Number
980-458-6037
person
Provider Business Mailing Address Details
Address
6849 Fairview Rd Ste 702
City
State
Zip
28210-3393
Phone Number
704-350-5324
Fax Number
980-458-6037
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
A16773 (North Carolina)
Definition
Definition to come...
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