Individual
CARL KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 MAPLE ST, SPRINGFIELD, MA 01103-2202
(413) 737-9544
(413) 737-4455
Mailing address
130 MAPLE ST, SPRINGFIELD, MA 01103-2202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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