Individual
KYLE KELLERMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
9 NEWBURG AVE STE 200, CATONSVILLE, MD 21228-5169
(410) 705-0664
Mailing address
1304 ASHBURTON CT, MILLERSVILLE, MD 21108-1900
(443) 883-1309
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10381
MD
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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