Individual
MR. DANNY KELLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2722 E OAKLAND AVE, JOHNSON CITY, TN 37601-1844
(423) 967-9208
Mailing address
PO BOX 4721, JOHNSON CITY, TN 37602-4721
(423) 967-9208
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701003303
VA
101YP2500X
Professional Counselor
Primary
LPC0000001652
TN
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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