MARY JACQUELINE KELLERMAN

TARZANA, CA
NPI1205190451
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  CJP980109)
Enumeration Date2012-07-02
Last Update Date2024-05-17
Business Address
MARY JACQUELINE KELLERMAN CCJP
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
Mailing Address
MARY JACQUELINE KELLERMAN CCJP
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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