Mr Barry Dean Kellem, CBHCM - Counselor in Jacksonville, FL

Mr Barry Dean Kellem, CBHCM is a Counselor - Addiction (substance Use Disorder) based in Jacksonville, Florida. Mr Barry Dean Kellem is licensed to practice in * (Not Available) (license number ) and his current practice location is 902 Ashton Cove Ter, Jacksonville, Florida. He can be reached at his office (for appointments etc.) via phone at (561) 713-4766.

NPI number for Mr Barry Dean Kellem is 1780435669 and his current mailing address is 902 Ashton Cove Ter, Jacksonville, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780435669.

Contact Information

Mr Barry Dean Kellem, CBHCM
902 Ashton Cove Ter,
Jacksonville, FL 32218-6126
(561) 713-4766
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Barry Dean Kellem
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location902 Ashton Cove Ter, Jacksonville, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780435669
  • Provider Enumeration Date: 03/29/2024
  • Last Update Date: 03/29/2024

Medical Identifiers

Medical identifiers for Mr Barry Dean Kellem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780435669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Barry Dean Kellem is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Barry Dean Kellem, CBHCM
902 Ashton Cove Ter,
Jacksonville, FL 32218-6126

Ph: (561) 713-4766
Mr Barry Dean Kellem, CBHCM
902 Ashton Cove Ter,
Jacksonville, FL 32218-6126

Ph: (561) 713-4766

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