Individual
MARY A KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
671 HOES LN, PISCATAWAY, NJ 08854-5627
(800) 969-5300
Mailing address
671 HOES LN, P. O. BOX 1392, PISCATAWAY, NJ 08854-5627
(732) 235-5940
(732) 235-2408
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00118400
NJ
101YP2500X
Professional Counselor
Primary
37PC00030900
NJ
Other
Enumeration date
11/02/2006
Last updated
07/20/2011
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