Individual
MR. DEAN KELLERHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAC
Contact information
Practice address
150 LAKE ST, 2ND FLOOR, ELMIRA, NY 14901-3401
(607) 737-5215
(607) 737-5219
Mailing address
150 LAKE ST, 2ND FLOOR, ELMIRA, NY 14901-3401
(607) 737-5215
(607) 737-5219
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
478
KS
Other
Enumeration date
08/16/2014
Last updated
02/24/2015
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