Individual
TERA L KELLEHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E CHESTNUT AVE, ALTOONA, PA 16601-5215
(814) 943-0414
(814) 943-6198
Mailing address
2025 PARKWAY DR APT 26, ALTOONA, PA 16602-7556
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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