Individual
MR. JIMMY C. MCKELLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-CR, LCDC III
Contact information
Practice address
2161 BISHOPSGATE DR, TOLEDO, OH 43614-2005
(419) 380-8537
Mailing address
2161 BISHOPSGATE DR, TOLEDO, OH 43614-2005
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C000258
OH
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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