Organization
ERIN KELLER LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELYNDA OWENS (BILLING & CREDENTIALING MANAGER)
(415) 500-8655
Entity
Organization
Contact information
Practice address
325 A ST STE 3, ASHLAND, OR 97520-1970
(541) 324-2690
Mailing address
PO BOX 4752, MEDFORD, OR 97501-0197
(541) 500-8655
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/02/2019
Last updated
06/06/2020
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