Individual
LISA KELLERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7105 HIGHWAY 9, FELTON, CA 95018-9718
(831) 335-4721
Mailing address
504 PINE ST UNIT A, CAPITOLA, CA 95010-2204
(808) 202-0782
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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