Individual
DR. SHELLIE JO KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC, CADC-I
Contact information
Practice address
3127 E WARM SPRINGS RD STE 300, LAS VEGAS, NV 89120-3134
(702) 850-8700
Mailing address
3936 GOLDFIELD ST, N LAS VEGAS, NV 89032-8106
(702) 862-0943
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
06734
NV
101YM0800X
Mental Health Counselor
Primary
CP5736
NV
Other
Enumeration date
02/13/2021
Last updated
08/04/2024
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