Individual
TARA KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.H.C.
Contact information
Practice address
1800 N 16TH ST, SUITE 1, CLARINDA, IA 51632-1101
(712) 542-2388
(712) 542-2984
Mailing address
1800 N 16TH ST, SUITE 1, CLARINDA, IA 51632-1101
(712) 542-2388
(712) 542-2984
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001211
IA
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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