Individual
AMANDA KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1385 KING AVE, COLUMBUS, OH 43212-2220
(614) 972-7928
Mailing address
5416 SETTLEMENT EAST RD, SHELBY, OH 44875-9084
(602) 300-0581
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.1901389
OH
Other
Enumeration date
06/20/2019
Last updated
10/14/2019
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