Organization
PSYCHOTHERAPY - PSICOTERAPIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA ANGELICA KELLER LICSW (PSYCHOTHERAPIST)
(651) 214-5170
Entity
Organization
Contact information
Practice address
900 AMERICAN BLVD E, 142, BLOOMINGTON, MN 55420-1392
(651) 214-5170
Mailing address
1981 CROWN POINT DR, MENDOTA HEIGHTS, MN 55118-4203
(651) 214-5170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16155
MN
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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