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Organization

KEVALA COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT CHARLES KELLER MA (OWNER)
(360) 480-0027
Entity
Organization

Contact information

Practice address
8613 MARTIN WAY E STE 201, LACEY, WA 98516-5820
(360) 480-0027
(360) 634-3590
Mailing address
4570 AVERY LN SE STE C102, LACEY, WA 98503-5608
(360) 480-0027

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
261QM0850X
Adult Mental Health Clinic/Center

Other

Enumeration date
05/31/2023
Last updated
05/31/2023
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