| Mia Tanya Stula Kellam, LAC | |
|
339 W 2nd St, Bound Brook, NJ 08805-1833 | |
| (732) 356-1082 | |
| (732) 356-6327 |
| Full Name | Mia Tanya Stula Kellam |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 339 W 2nd St, Bound Brook, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417114240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37AC00041700 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mia Tanya Stula Kellam, LAC 339 W 2nd St, Bound Brook, NJ 08805-1833 Ph: (732) 356-1082 | Mia Tanya Stula Kellam, LAC 339 W 2nd St, Bound Brook, NJ 08805-1833 Ph: (732) 356-1082 |
Csilla Hajnal, AC Counselor Medicare: Not Enrolled in Medicare Practice Location: 339 W 2nd St, Bound Brook, NJ 08805 Phone: 732-356-1082 Fax: 732-356-6327 | |
Dr. Jennifer K Dixon, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 374 W High St, Bound Brook, NJ 08805 Phone: 732-322-9766 | |
Donna Puglia, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 339 W 2nd St, Bound Brook, NJ 08805 Phone: 732-356-1082 Fax: 732-356-6327 | |
Ivelisse A Reyes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 339 W 2nd St, Bound Brook, NJ 08805 Phone: 732-356-1082 Fax: 732-356-6327 | |
Heather Cooper Barry, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 339 W 2nd St, Bound Brook, NJ 08805 Phone: 732-356-1082 Fax: 732-356-6327 | |
Dr. Marion Rollings, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 236 W High St, Bound Brook, NJ 08805 Phone: 908-500-7295 | |
Jacqueline M Miller, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 339 W 2nd St, Bound Brook, NJ 08805 Phone: 732-356-1082 Fax: 732-356-6327 |