Individual
SHEILA KELLENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 N 8TH ST, EL CENTRO, CA 92243-2302
(442) 265-1525
Mailing address
202 N 8TH ST, EL CENTRO, CA 92243-2302
(442) 265-1525
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/18/2016
Last updated
04/05/2017
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