MICHAEL A KELLAM

PLEASANTON, CA
NPI1356507123
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-07-31
Last Update Date2008-07-31
Business Address
-- MICHAEL A KELLAM
4361 RAILROAD AVE
PLEASANTON, CA 94566-6611
Phone number: 925-201-6041
Mailing Address
-- MICHAEL A KELLAM
4361 RAILROAD AVE
PLEASANTON, CA 94566-6611
Phone number: 925-201-6041
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