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TERRENCE JOHN KELLEMAN LICDC NPI 1447685003


NPI Information

NPI: 1447685003
Provider Name: TERRENCE JOHN KELLEMAN, LICDC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
23550 CENTER RIDGE RD
SUITE 208
WESTLAKE, OH
ZIP 44145
Phone: (440) 356-2286
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Terrence John Kelleman, LICDC is an addiction (substance use disorder) counselor in Westlake, OH. Terrence John Kelleman, LICDC NPI is 1447685003. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

23550 CENTER RIDGE RD
SUITE 208
WESTLAKE, OH
ZIP 44145-655
Phone: (440) 356-2286
Fax: (440) 331-3021

The enumeration date for this NPI number is 9/13/2013 and was last updated on 10/16/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)912985OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.