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Mr. Kevin M. Killelea
Counselor in San Rafael, California
NPI 1568665719

Kevin M. Killelea is a Counselor based in San Rafael, CA. Kevin M. Killelea practices in San Rafael, CA. The NPI Number for Kevin M. Killelea is 1568665719 and holds a License No. (California).

The current practice location address for Kevin M. Killelea is 555 Northgate Dr Ste 100, San Rafael, CA and can be reached out via phone at 415-419-9641.

Location: 555 Northgate Dr Ste 100, San Rafael, CA, 94903-3696
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568665719
Provider Name
Kevin M. Killelea
Credential
Provider Entity Type
Individual
Gender
Male
Address
555 Northgate Dr Ste 100, San Rafael, CA, 94903-3696
Phone Number
415-419-9641
Fax Number
Provider Enumeration Date
06/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
555 Northgate Dr Ste 100
City
San Rafael
State
California
Zip
94903-3696
Phone Number
415-419-9641
Fax Number
person
Provider Business Mailing Address Details
Address
555 Northgate Dr Ste 100
City
San Rafael
State
California
Zip
94903-3696
Phone Number
415-419-9641
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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