| Kellumenterprisess | |
|
109 E 4th St Apt 1c Mount Vernon NY 10550-4274 | |
| (914) 357-9334 | |
| Not Available |
| Full Name | Kellumenterprisess |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 109 E 4th St Apt 1c, Mount Vernon, New York |
| Authorized Official Name and Position | Jamar Crow (CEO) |
| Authorized Official Contact | 9143579334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kellumenterprisess 109 E 4th St Apt 1c Mount Vernon NY 10550-4274 Ph: (914) 357-9334 | Kellumenterprisess 109 E 4th St Apt 1c Mount Vernon NY 10550-4274 Ph: (914) 357-9334 |
| NPI Number | 1407740632 |
|---|---|
| Provider Enumeration Date | 06/04/2025 |
| Last Update Date | 06/04/2025 |
| Certification Date | 06/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407740632 | NPI | - | NPPES |
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