KATHERINE KELLUM

FAIRFIELD, CA
NPI1093142291
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: CA  68083)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  25211)
Enumeration Date2013-10-02
Last Update Date2023-07-05
Business Address
KATHERINE KELLUM
275 BECK AVE
FAIRFIELD, CA 94533-6804
Phone number: 707-784-8181
Mailing Address
KATHERINE KELLUM
275 BECK AVE
FAIRFIELD, CA 94533-6804
Phone number: 707-784-8181