Individual
CALEB KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7700 NE PARKWAY DR STE 130, VANCOUVER, WA 98662-6648
(360) 207-9218
Mailing address
2147 NEWHALL ST APT 727, SANTA CLARA, CA 95050-5896
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61471229
WA
101YM0800X
Mental Health Counselor
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Other
Enumeration date
08/14/2023
Last updated
04/03/2024
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