Individual
HEATHER KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 E WHITE MOUNTAIN BLVD, LAKESIDE, AZ 85929-6807
(480) 389-4519
Mailing address
20 E WHITE MOUNTAIN BLVD STE A5-118, LAKESIDE, AZ 85929-6807
(480) 389-4519
(480) 637-7570
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/18/2008
Last updated
02/15/2021
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