| Organization Name: | TERRENCE KELLEMAN COUNSELING INC |
| NPI Number: | 1053746750 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRY JOHN KELLEMAN (PRESIDENT/OWNER) |
| Mailing Address: | 23550 Center Ridge Rd Suite 208 Westlake |
| State: | OH US |
| Postal Code: | 441453655 |
| Phone Number: | 4403562286 |
| Fax Number: | 4403313021 |
| NPI Enumeration Date: | 09/12/2013 |
| NPI Last Update Date: | 10/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 912985 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |