# LARRY KELLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1285085779
- **Gender:** Man
- **Credential:** LSATP, LCAS, CAADC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 0718000420 | VA | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 0710103300 | VA | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 0718000420 | VA | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1436 | VA | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CSAC20095 | NC | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LCAS-234233 | NC | Yes |

## Other

- **Enumeration date:** 06/25/2016
- **Last updated:** 09/17/2026