person
Mia Tanya Stula Kellam, LAC
Mental Health Counselor in Bound Brook, New Jersey
NPI 1417114240

Mia Tanya Stula Kellam is a Mental Health Counselor based in Bound Brook, NJ and is specialized in Mental Health. Mia Tanya Stula Kellam practices in Bound Brook, NJ and has the professional credentials of LAC. The NPI Number for Mia Tanya Stula Kellam is 1417114240 and holds a License No. 37AC00041700 (New Jersey).

The current practice location address for Mia Tanya Stula Kellam is 339 W 2Nd St, Bound Brook, NJ and can be reached out via phone at 732-356-1082 and via fax at 732-356-6327.

Location: 339 W 2Nd St, Bound Brook, NJ, 08805-1833
person
Provider Profile Details
NPI Number
1417114240
Provider Name
Mia Tanya Stula Kellam
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
339 W 2Nd St, Bound Brook, NJ, 08805-1833
Phone Number
732-356-1082
Fax Number
732-356-6327
Provider Enumeration Date
05/20/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
339 W 2Nd St
City
State
Zip
08805-1833
Phone Number
732-356-1082
Fax Number
732-356-6327
person
Provider Business Mailing Address Details
Address
339 W 2Nd St
City
State
Zip
08805-1833
Phone Number
732-356-1082
Fax Number
732-356-6327
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
37AC00041700 (New Jersey)
Definition
Definition to come...
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