Individual
JENNIFER KELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 46TH ST, VIENNA, WV 26105-2937
(304) 893-7396
Mailing address
805 46TH ST, VIENNA, WV 26105-2937
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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