Individual
TRACY C KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6980 N PORT WASHINGTON RD, STE 202, MILWAUKEE, WI 53217
(414) 351-7100
(414) 247-4082
Mailing address
6980 N PORT WASHINGTON RD, STE 202, MILWAUKEE, WI 53217-3900
(414) 351-7100
(414) 247-4082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1903-226
WI
101YP2500X
Professional Counselor
Primary
5702
WI
Other
Enumeration date
05/27/2015
Last updated
08/29/2018
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