Individual
MICHELLE KELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1121 BROADWAY ST, PELLA, IA 50219-1229
(641) 628-1623
Mailing address
1528 WESTWOOD DR, PELLA, IA 50219-1059
(641) 620-9094
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00889
IA
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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