Doctor Name: | DR. KATHLEEN HARTNEY KELLUM |
NPI Number: | 1528240314 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, NCC |
License Number: | |
Business Practice Address: | 8025 N Point Blvd Ste 231 Winston Salem, NC - 271063288 |
Business Phone Number: | 3368960065 |
Business Fax Number: | |
Mailing Address: | 8025 N Point Blvd Ste 231, WINSTON SALEM |
State: | NC |
Postal Code: | 271063288 |
Phone Number: | 3368960065 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2007 |
NPI Last Update Date: | 12/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |