Mary Jacqueline Kellerman, CCJP
Mary Jacqueline Kellerman, CCJP is an Addiction (Substance Use Disorder) Counselor in Tarzana, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2012
Practice location Address checks out
18646 Oxnard StTarzana, CA 91356-1411
Phone: (818) 996-1051
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CJP980109 (CA) |
|---|
Record details
| NPI number | 1205190451 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CCJP |
| Sole proprietor | Yes |
| NPI enumerated | July 2, 2012 |
| Last updated in NPPES | May 17, 2024 |
| Certification date | May 17, 2024 |
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