Individual
SHANNON MARIE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 FOUNTAINS BLVD NE # 203, CEDAR RAPIDS, IA 52411-6610
(319) 734-2002
Mailing address
3900 FOUNTAINS BLVD NE # 203, CEDAR RAPIDS, IA 52411-6610
(319) 734-2002
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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