Individual
HARRY KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA.070588
Contact information
Practice address
30800 CHAGRIN BLVD, CLEVELAND, OH 44124-5925
(216) 591-0324
Mailing address
30800 CHAGRIN BLVD, CLEVELAND, OH 44124
(216) 591-0324
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.070588
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2374229
—
OH
Enumeration date
02/26/2015
Last updated
02/26/2015
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