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Organization
KELLUMENTERPRISESS
Active
Organization
KELLUMENTERPRISESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMAR CROW LMHC-LP (CEO)
(914) 357-9334
Entity
Organization
Contact information
Practice address
109 E 4TH ST APT 1C, MOUNT VERNON, NY 10550-4274
(914) 357-9334
Mailing address
109 E 4TH ST APT 1C, MOUNT VERNON, NY 10550-4274
(914) 357-9334
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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