Individual
MR. MICHAEL SHAWN KELLERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC SAP MAC CAP CCJ
Contact information
Practice address
3110 1ST AVE N 2ND FLOOR SUITE 6W, ST PETERSBURG, FL 33733-6524
(727) 580-9117
(813) 961-9787
Mailing address
PO BOX 16524, ST PETERSBURG, FL 33733-6524
(727) 580-9117
(813) 961-9787
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1533CAT1533
FL
101YM0800X
Mental Health Counselor
MH3987
FL
Other
Enumeration date
11/17/2006
Last updated
11/19/2025
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