Byron Kellam, LPC
Counselor, Professional in Douglasville, GA. Individual provider (NPI-1).
NPI number1679893259
StatusActive
Last updated in NPPESDec 23, 2022
Details
- NPI
- 1679893259
- Entity type
- Individual (NPI-1)
- Name
- Byron Kellam
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2010
- Certification date
- Dec 23, 2022
- Last updated
- Dec 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 004651 | GA | Yes |
Practice location
3292 Thornecreek DrDouglasville, GA 30135-8124
Phone 404-557-0747
Mailing address
3292 Thornecreek DrDouglasville, GA 30135-8124
Phone 404-557-0747
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All 85 Professional Counselor providers in Douglasville · All 2,137 providers in Douglasville
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