Individual
MRS. JODI MARIE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 E CLIFF DR, FAIRFIELD BAY, AR 72088-3641
(501) 238-0602
Mailing address
750 E CLIFF DR, FAIRFIELD BAY, AR 72088-3641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2588
MN
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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