Individual
JACOB R KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
411 W MAIN ST, EATON, OH 45320-1624
(937) 475-9124
Mailing address
411 W MAIN ST, EATON, OH 45320-1624
(937) 475-9124
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E1000620
OH
Other
Enumeration date
02/03/2012
Last updated
09/12/2023
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