M Shawn Kellerman in St Petersburg - Addiction (substance Use Disorder)

M Shawn Kellerman - NPI 1568535235

M Shawn Kellerman is a Addiction (substance Use Disorder) in St Petersburg, Florida. M Shawn Kellerman practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for M Shawn Kellerman is 1568535235. The last update date is 2007-07-08.

M Shawn Kellerman's current location address is Po Box 16524, St Petersburg, Florida. You can contact this provider via phone number 7275809117 and fax number 8139619787. The mailing address for M Shawn Kellerman is Po Box 16524, St Petersburg, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name M Shawn Kellerman
Address Po Box 16524, St Petersburg, Florida
Phone Number 7275809117
Fax Number 8139619787
Sole Proprietor N
Credentials LMHC SAP M

NPI Number Detail

NPI Number 1568535235
Provider Enumeration Date 2006-11-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 16524
City St Petersburg
State Florida (FL)
Post Code 337336524
Phone Number 7275809117
Fax Number 8139619787

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 1533CAT1533
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about M Shawn Kellerman

What is the M Shawn Kellerman's 1568535235?

The M Shawn Kellerman's NPI (National Provider Identifier) Number is 1568535235. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of M Shawn Kellerman?

The M Shawn Kellerman is situated at Po Box 16524, in the city of St Petersburg, state of FL, with the zip code 337336524.

What is M Shawn Kellerman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for M Shawn Kellerman is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.

On what date did the M Shawn Kellerman receive the assignment of its 1568535235 from the Centers for Medicare & Medicaid Services?

The M Shawn Kellerman was issued its 1568535235 by the Centers for Medicare & Medicaid Services on 2006-11-17.

As of what date were the details pertaining to M Shawn Kellerman last refreshed?

The information related to the M Shawn Kellerman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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