BLAKE JILLIAN KELLUM

CHARLOTTE, NC
NPI1215699483
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  A16773)
Enumeration Date2021-10-06
Last Update Date2022-08-11
Business Address
BLAKE JILLIAN KELLUM LCMHCA
6849 FAIRVIEW RD STE 702
CHARLOTTE, NC 28210-3393
Phone number: 704-350-5324
Mailing Address
BLAKE JILLIAN KELLUM LCMHCA
6849 FAIRVIEW RD STE 702
CHARLOTTE, NC 28210-3393
Phone number: 704-350-5324
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