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Individual

JACOB LEE KELLENBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, TLLP

Contact information

Practice address
323 E GRAND RIVER AVE, HOWELL, MI 48843-2322
(909) 510-7626
Mailing address
323 E GRAND RIVER AVE, HOWELL, MI 48843-2322
(989) 510-7626

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009950
MI

Other

Enumeration date
08/20/2024
Last updated
08/20/2024
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