Individual
JORDAN DAVID KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
8720 DAYFLOWER DR, OOLTEWAH, TN 37363-6940
(423) 301-1500
(423) 616-9815
Mailing address
8720 DAYFLOWER DR, OOLTEWAH, TN 37363-6940
(423) 301-1500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/16/2016
Last updated
07/10/2024
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