SearchNew York101YA0400X

Dean Kellerhouse, LCAC

NPI 1386043222 · on the registry since 2014 · sole proprietor

Practice

Address
150 Lake St
2nd Floor
Elmira, NY 14901
Phone
(607) 737-5215
Fax
(607) 737-5219
Clinicians at this address
15

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-02-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York