Individual
JOE KELLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW LAC
Contact information
Practice address
307 1ST AVE E, STE 3, KALISPELL, MT 59901
(406) 257-3877
(406) 257-3907
Mailing address
307 1ST AVE E, STE 3, KALISPELL, MT 59901
(406) 257-3877
(406) 257-3907
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
951LAC
MT
1041C0700X
Clinical Social Worker
579LCSW
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0502061
—
MT
01
—
71333
BLUE CROSS BLUE SHIELD
MT
Enumeration date
05/20/2006
Last updated
09/11/2025
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