Individual
MEGAN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
4483 US NORTH 42, MASON, OH 45040-1934
(513) 834-7063
(513) 873-1567
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1459
(513) 834-7063
(513) 873-1567
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CDCA.168196
OH
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.168196
OH
Other
Enumeration date
03/06/2019
Last updated
09/02/2020
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