Individual
MRS. VIRGINIA M. KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C., LPC
Contact information
Practice address
11020 N TATUM BLVD, SUITE 100, PHOENIX, AZ 85028-6072
(602) 996-8619
(602) 996-7932
Mailing address
11020 N TATUM BLVD, SUITE 100, PHOENIX, AZ 85028-6072
(602) 996-8619
(602) 996-7932
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-0139
AZ
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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