Individual
MS. CHARLIE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7201 BROADWAY STE 218, SAN ANTONIO, TX 78209-3773
(210) 960-6828
Mailing address
7201 BROADWAY STE 218, SAN ANTONIO, TX 78209-3773
(210) 960-6828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
81810
TX
Other
Enumeration date
01/02/2024
Last updated
03/27/2026
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