Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Barry Dean Kellem, CBHCM

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1780435669

Mr. Barry Dean Kellem, CBHCM is an Addiction (Substance Use Disorder) Counselor in Jacksonville, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

902 Ashton Cove Ter
Jacksonville, FL 32218-6126
Phone: (561) 713-4766
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1780435669
Entity typeIndividual (Type 1)
GenderMale
Credentials CBHCM
Sole proprietorNo
NPI enumeratedMarch 29, 2024
Last updated in NPPESMarch 29, 2024
Certification dateMarch 29, 2024

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