Kellerman, M Shawn

Kellerman, M Shawn is an individual health care provider with primary practice located at 3110 1St Ave N 2Nd Floor Suite 6W , St Petersburg FL 33733-6524. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Kellerman, M Shawn can be contacted via phone (727) 580-9117.

Contact Information

Primary practice address
3110 1St Ave N 2Nd Floor Suite 6W St Petersburg FL 33733-6524
Phone: (727) 580-9117
Fax: (813) 961-9787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1533CAT1533 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH3987 Florida

Profile Details

NPI number 1568535235
LBN Legal business name Kellerman, M Shawn
Credentials LMHC SAP MAC CAP CCJ
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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