Individual
KIMBERLY KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 NEWBURG AVE STE 102, CATONSVILLE, MD 21228-5157
(443) 840-7862
Mailing address
PO BOX 38535, BALTIMORE, MD 21231-8535
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
15654
CA
101YP2500X
Professional Counselor
Primary
LC14859
MD
106H00000X
Marriage & Family Therapist
—
CA
Other
Enumeration date
07/28/2020
Last updated
06/12/2024
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