National Provider Identifier
Dean Kellerhouse, LCAC
Dean Kellerhouse, LCAC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Elmira, NY and a listed phone number of (607) 737-5215.
Profile Overview
- NPI
- 1386043222
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- August 16, 2014
- Last Updated
- February 24, 2015
Practice Location
- 150 Lake St
- 2Nd Floor
- Elmira, NY 14901-3401
Phone: (607) 737-5215
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1386043222
- Entity Type
- Individual
- Last Name
- Kellerhouse
- First Name
- Dean
- Name Prefix
- Mr.
- Credential
- LCAC
- Mailing Street Address
- 150 Lake St
- Mailing Address Line 2
- 2Nd Floor
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3401
- Mailing Country
- US
- Mailing Phone
- (607) 737-5215
- Mailing Fax
- (607) 737-5219
- Practice Street Address
- 150 Lake St
- Practice Address Line 2
- 2Nd Floor
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-3401
- Practice Country
- US
- Practice Phone
- (607) 737-5215
- Practice Fax
- (607) 737-5219
- Enumeration Date
- August 16, 2014
- Last Updated
- February 24, 2015
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)