Individual
AMANDA KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
9754 KENWOOD RD, BLUE ASH, OH 45242-6159
(513) 793-3661
Mailing address
3974 BEAVERCREEK CIR, CINCINNATI, OH 45241-3067
(513) 659-8732
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1300506
OH
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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