Individual
MR. JAMES P KELLEHER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMHC, LPC
Contact information
Practice address
99 E. VIRGINIA AVE, SUITE #170, PHOENIX, AZ 85004
(602) 321-9536
Mailing address
99 E. VIRGINIA AVE, SUITE 170, PHOENIX, AZ 85004
(602) 321-9536
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
000247
NY
101YM0800X
Mental Health Counselor
Primary
LPC-13096
AZ
Other
Enumeration date
05/04/2006
Last updated
06/27/2010
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