Damien Diablo Kellam, M.A., LPC, PHD ABD

NPI #1447431994 in Morrow, Georgia

Provider Information

NPI Number: 1447431994
Entity Type: Individual
Name: Damien Diablo Kellam, M.A., LPC, PHD ABD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: M.A., LPC, PHD ABD
Enumeration Date: Nov 26, 2007
Last Updated: Apr 1, 2013

Practice Location

Address: 2220 LAKE HARBIN RD
City: Morrow
State: Georgia
ZIP Code: 30260-1907
Phone: (404) 337-0305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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