Individual
MS. ELISE MARIE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
14551 JUDICIAL RD STE 100, BURNSVILLE, MN 55306-4991
(952) 898-5020
Mailing address
315 5TH ST SE APT 304, MINNEAPOLIS, MN 55414-1660
(763) 568-5229
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2442
MN
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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