BLAKE JILLIAN KELLUM

CHARLOTTE, NC
NPI1215699483
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  16773)
Enumeration Date2021-10-06
Last Update Date2026-07-31
Business Address
BLAKE JILLIAN KELLUM LCMHC
2015 AYRSLEY TOWN BLVD STE 302-A
CHARLOTTE, NC 28273-4067
Phone number: 704-350-5324
Mailing Address
BLAKE JILLIAN KELLUM LCMHC
2015 AYRSLEY TOWN BLVD STE 302-A
CHARLOTTE, NC 28273-4067
Phone number: 704-981-1473
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