Individual
AMY S KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 GROVE ST # 300, MIDDLETOWN, OH 45044-5890
(513) 727-1438
(513) 727-1532
Mailing address
1001 GROVE ST # 300, MIDDLETOWN, OH 45044-5890
(513) 727-1438
(513) 727-1532
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
944146
OH
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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