# KEVALA COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538852058
- **Authorized official:** MR. ROBERT CHARLES KELLER MA (OWNER)
- **Authorized official phone:** (360) 480-0027

## Contact information

- **Practice address:** 8613 MARTIN WAY E STE 201, LACEY, WA 98516-5820
- **Practice address phone:** (360) 480-0027
- **Practice address fax:** (360) 634-3590
- **Mailing address:** 4570 AVERY LN SE STE C102, LACEY, WA 98503-5608
- **Mailing address phone:** (360) 480-0027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/31/2023
- **Last updated:** 05/31/2023