Individual
PATRICIA KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4523 NEWBERRY TER, SAINT LOUIS, MO 63113-2410
(314) 732-6135
Mailing address
4523 NEWBERRY TER, SAINT LOUIS, MO 63113-2410
(314) 732-6135
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007019139
MO
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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